Individual
FEDERICO MAESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
269 E OVILLA RD STE 100, RED OAK, TX 75154-2616
(469) 719-3690
(469) 719-3680
Mailing address
269 E OVILLA RD STE 100, RED OAK, TX 75154-2616
(469) 719-3690
(469) 719-3680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
J4319
TX
207RC0000X
Cardiovascular Disease Physician
Primary
J4319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131230801
—
TX
05
—
1312708-01
—
TX
Enumeration date
03/20/2007
Last updated
02/07/2023
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