| Icalzada Llc | |
|
1000 Heritage Center Cir Round Rock TX 78664-4463 | |
| (512) 550-1715 | |
| (844) 522-0357 |
| Full Name | Icalzada Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1000 Heritage Center Cir, Round Rock, Texas |
| Authorized Official Name and Position | Israel Calzada (OWNER/MEDICAL DOCTOR) |
| Authorized Official Contact | 5125501715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icalzada Llc 3604 Indian Cherry Pl Crandall TX 75114-0649 Ph: (817) 301-6494 | Icalzada Llc 1000 Heritage Center Cir Round Rock TX 78664-4463 Ph: (512) 550-1715 |
| NPI Number | 1659165694 |
|---|---|
| Provider Enumeration Date | 04/07/2025 |
| Last Update Date | 04/07/2025 |
| Certification Date | 04/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659165694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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