Active NPI
Kalypso Treatment Centers, PLLC
- Anesthesiology Physician
- Shenandoah, TX
National Provider Identifier
1295316586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- KALYPSO TREATMENT CENTERS, PLLC
- Practice address
- 150 Pine Forest Dr Suite 503
Shenandoah, TX 77384 - NPI assigned
- Apr 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Bryan Clifton, MD
- Title
- Authorized Official
- Phone
- (210) 862-7246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
150 Pine Forest Dr Suite 503
Shenandoah, TX 77384
Mailing address
150 Pine Forest Dr Suite 503
Shenandoah, TX 77384
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618790400000",
"number": "1295316586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PINE FOREST DR SUITE 503",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "77384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PINE FOREST DR SUITE 503",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "77384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALYPSO TREATMENT CENTERS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-19",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A",
"authorized_official_last_name": "CLIFTON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "BRYAN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "210-862-7246",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.