| Doctor Name: | MR. RICHARD DEAN CALKINS |
| NPI Number: | 1790042406 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 642379 |
| Business Practice Address: | 2401 Walker Place Blvd # 300 Copperas Cove, TX - 765224025 |
| Business Phone Number: | 2545475516 |
| Business Fax Number: | |
| Mailing Address: | 2401 Walker Place Blvd, # 300 COPPERAS COVE |
| State: | TX |
| Postal Code: | 765224025 |
| Phone Number: | 2545475516 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2012 |
| NPI Last Update Date: | 04/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 642379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |