Provider Demographics
NPI:1053429209
Name:CALDWELL, FELIX LEHMAN II (MD)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:LEHMAN
Last Name:CALDWELL
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6502 KIRBY WOODS DRIVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119
Mailing Address - Country:US
Mailing Address - Phone:901-818-9419
Mailing Address - Fax:
Practice Address - Street 1:1714 WEST MASSEY ROAD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120
Practice Address - Country:US
Practice Address - Phone:901-685-5520
Practice Address - Fax:901-685-0782
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD14235207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNA99789Medicare UPIN