| 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 |
|---|---|
| Provider Enumeration Date | 02/18/2011 |
| Last Update Date | 03/09/2011 |
| Medicare PECOS PAC ID | 1052490570 |
|---|---|
| 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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