Maldonado, Suyapa Marixa

Maldonado, Suyapa Marixa is an individual health care provider with primary practice located at 2108 N. Frazier St. Suite D, Conroe TX 77301-1220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Maldonado, Suyapa Marixa can be contacted via phone (936) 718-4671.

Contact Information

Primary practice address
2108 N. Frazier St. Suite D Conroe TX 77301-1220
Phone: (936) 718-4671
Fax: (936) 494-4354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 709589 Texas

Profile Details

NPI number 1205908449
LBN Legal business name Maldonado, Suyapa Marixa
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Aug 15th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205908449 NPPES
Texas MEDICAID 168756801
Texas Other 8Y3431

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