| Doctor Name: | BENJAMIN CLAY CALDWELL |
| NPI Number: | 1194809657 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | C-FNP |
| License Number: | 636969 |
| Business Practice Address: | 2418 W Main St Gun Barrel City, TX - 751563638 |
| Business Phone Number: | 9031732000 |
| Business Fax Number: | 9037132004 |
| Mailing Address: | 2418 W Main Street, GUN BARREL CITY |
| State: | TX |
| Postal Code: | 75156 |
| Phone Number: | 9031732000 |
| Fax Number: | 9037132004 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 11/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261Q00000X |
| License Number: | 636969 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |