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NPI Code Detail

MEDICARE: TERESA MALDONADO

MEDICARE: TERESA MALDONADO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor70861TX

General Provider Information

NPI Number : 1215324959
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA MALDONADO
Provider Business Mailing Address
First Line : 8522 CHELSEA PARK
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78251-2551
Country : US
Telephone Number : 210-521-4673
Fax Number :
Provider Business Practice Location Address
First Line : 3103 WEST AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78213-4535
Country : US
Telephone Number : 210-340-7971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2015
Last Update Date : 03/15/2026

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Directions to “ TERESA MALDONADO ” Practice Location

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