Individual
LISAMAR MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N5830
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
N5830
TX
Other
Enumeration date
11/06/2007
Last updated
08/02/2010
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