Individual
TIWAAH G. MALDIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1441 N BECKLEY AVE STE 268, DALLAS, TX 75203-1201
(214) 947-4400
(214) 947-4404
Mailing address
1441 N BECKLEY AVE STE 268, DALLAS, TX 75203-1201
(214) 947-4400
(214) 947-4404
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP126294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006418
—
NC
Enumeration date
10/23/2012
Last updated
10/19/2021
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