Provider Demographics
NPI:1386145811
Name:CALLES, NANCY R (RN)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:R
Last Name:CALLES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3670 COUNTY ROAD 263
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:75855-3461
Mailing Address - Country:US
Mailing Address - Phone:903-322-2481
Mailing Address - Fax:
Practice Address - Street 1:3670 COUNTY ROAD 263
Practice Address - Street 2:
Practice Address - City:OAKWOOD
Practice Address - State:TX
Practice Address - Zip Code:75855-3461
Practice Address - Country:US
Practice Address - Phone:903-322-2481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX551095163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse