Individual
DR. JEFERSON VASCONCELLOS MARADEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23103 IH 10 W STE 111, SAN ANTONIO, TX 78257-1766
(210) 571-7546
Mailing address
413 UMAR AVE, MCALLEN, TX 78504-1972
(210) 322-6792
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
PENDING
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
PENDING
TX
Other
Enumeration date
11/10/2022
Last updated
03/05/2023
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