Individual
DAVID R MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6400 FANNIN ST STE 1700, HOUSTON, TX 77030-1526
(713) 486-5527
Mailing address
6400 FANNIN ST STE 1700, HOUSTON, TX 77030-1526
(713) 486-5527
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1753
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
T9178
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
T9178
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T9178
MEDICAL BOARD OF TEXAS
TX
Enumeration date
02/10/2017
Last updated
09/12/2022
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