Individual
CESAR ALFREDO MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1013A S WELLS ST, EDNA, TX 77957-4045
(361) 782-7820
(361) 782-5627
Mailing address
1013A S WELLS ST, EDNA, TX 77957-4045
(361) 782-7820
(361) 782-5627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10039478
TX
207Q00000X
Family Medicine Physician
Primary
Q1664
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341143103
—
TX
Enumeration date
05/01/2011
Last updated
01/21/2016
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