Individual
ANTONY LIZCANO MALTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 N GARFIELD ST, MIDLAND, TX 79705-6329
(682) 266-7025
Mailing address
3600 N GARFIELD ST, MIDLAND, TX 79705-6329
(682) 266-7025
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
08/20/2024
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