Organization Active NPI

Calder Immediate Care PLLC

  • Family Medicine Physician
  • League City, TX
National Provider Identifier
1104193564
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CALDER IMMEDIATE CARE PLLC
Practice address
1108 Gulf Fwy S
Ste 220
League City, TX 77573-5100
Phone
(281) 557-4404
Fax
(281) 557-4443
NPI assigned
Nov 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Todd Evans
Title
VP
Phone
(713) 852-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1108 Gulf Fwy S
Ste 220
League City, TX 77573-5100

Mailing address

1108 Gulf Fwy S
Ste 220
League City, TX 77573-5100
Phone (281) 557-4404

National Provider Directory

National Provider Directory

Locations

1108 Gulf Fwy S
Ste 220
League City, TX 77573
Phone (281) 554-0111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1104193564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 GULF FWY S",
            "address_2": "STE 220",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735100",
            "telephone_number": "281-557-4404",
            "fax_number": "281-557-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 GULF FWY S",
            "address_2": "STE 220",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735100",
            "telephone_number": "281-557-4404",
            "fax_number": "281-557-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDER IMMEDIATE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "713-852-1550"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.