Provider Demographics
NPI:1811480783
Name:CALTZONTZINT, MICHAEL JAMES (PMHNP)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JAMES
Last Name:CALTZONTZINT
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1832 AMBROSIA AVE
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-2346
Mailing Address - Country:US
Mailing Address - Phone:832-905-1177
Mailing Address - Fax:832-548-8518
Practice Address - Street 1:2217 N PARK AVE
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-4216
Practice Address - Country:US
Practice Address - Phone:832-905-1177
Practice Address - Fax:832-548-8518
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137133363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health