Individual
ANDIE E MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7501 QUAKER AVE, LUBBOCK, TX 79424-3367
(806) 788-3306
(806) 722-3861
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0333
(806) 782-0097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2098
WV
363A00000X
Physician Assistant
Primary
PA13717
TX
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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