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MALDONADO PSYCHIATRIC ASSOCIATION NPI 1962656199


NPI Information

NPI: 1962656199
Provider Name: MALDONADO PSYCHIATRIC ASSOCIATION

Doing Business As: JORGE MALDONADO

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1634 LOCKHILL SELMA RD
SAN ANTONIO, TX
ZIP 78213
Phone: (210) 541-8455
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MALDONADO PSYCHIATRIC ASSOCIATION is a specialist in San Antonio, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MALDONADO PSYCHIATRIC ASSOCIATION NPI is 1962656199. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jorge Maldonado.

The provider's business location address is:

1634 LOCKHILL SELMA RD
SAN ANTONIO, TX
ZIP 78213-929
Phone: (210) 541-8455

The provider's authorized official is Tammy Fountain .
The authorized official title is Office Manager and has the following contact phone number (210) 541-8455.

The enumeration date for this NPI number is 11/14/2008 and was last updated on 9/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistK2359TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100981FMEDICARE PINTEXAS
2149418903MEDICAIDTEXAS
3G63935MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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