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Individual
MARIA MACIAS VALDEZ
Active
Individual
MARIA MACIAS VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2310115
UNITED HEALTHCARE
TX
05
—
321389401
—
TX
Enumeration date
09/24/2006
Last updated
09/14/2018
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