Crdamc

Primary specialty

Military HospitalTaxonomy code 286500000X

Legal business name

CRDAMC

Practice address

1162 Shady Oaks Dr.
Salado, TX 76571

Phone

(254) 947-3232

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tanja J Calder, RN

Title

Registered Nurse

Phone

(254) 288-8400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386798742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 SHADY OAKS DR.",
            "city": "SALADO",
            "state": "TX",
            "postal_code": "76571",
            "telephone_number": "254-947-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 SHADY OAKS DR.",
            "city": "SALADO",
            "state": "TX",
            "postal_code": "76571",
            "telephone_number": "254-947-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRDAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALDER",
        "authorized_official_first_name": "TANJA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "254-288-8400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Military Hospital in Salado, TX
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• Military Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.