Hector Martin Maldonado, M.d.,ph.d.,p.a. | |
3260 N Mesa St Suite A El Paso TX 79902-2323 | |
(915) 544-6262 | |
(915) 544-6298 |
Full Name | Hector Martin Maldonado, M.d.,ph.d.,p.a. |
---|---|
Speciality | Psychiatry & Neurology |
Location | 3260 N Mesa St, El Paso, Texas |
Authorized Official Name and Position | Hector Martin Maldonado (PHYSICIAN) |
Authorized Official Contact | 9155446262 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Hector Martin Maldonado, M.d.,ph.d.,p.a. 3260 N Mesa St Suite A El Paso TX 79902-2323 Ph: (915) 544-6262 | Hector Martin Maldonado, M.d.,ph.d.,p.a. 3260 N Mesa St Suite A El Paso TX 79902-2323 Ph: (915) 544-6262 |
NPI Number | 1164729638 |
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Provider Enumeration Date | 02/18/2011 |
Last Update Date | 03/09/2011 |
Medicare PECOS PAC ID | 1052490570 |
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Medicare Enrollment ID | O20080508000215 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164729638 | NPI | - | NPPES |
126438403 | Medicaid | TX | |
178092700 | Other | TX | WORKERS COMPENSATION |
U3989 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | J0088 (Texas) | Primary |
Provider Name | Hector M Maldonado |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1457369050 PECOS PAC ID: 5193705606 Enrollment ID: I20040724000092 |
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