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NPI Code Detail

MEDICARE: DAVID MALDONADO III M.D.

MEDICARE: DAVID MALDONADO III M.D.
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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianL2441TX
2207RH0002XHospice and Palliative Medicine (Internal Medicine) PhysicianL2441TX
3207RP1001XPulmonary Disease PhysicianL2441TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386624476
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MALDONADO III M.D.
Provider Business Mailing Address
First Line : 4843 COLLEYVILLE BLVD STE 251-328
Second Line :
City : COLLEYVILLE
State : TX
Zip : 76034-3923
Country : US
Telephone Number : 817-263-6116
Fax Number : 817-263-6117
Provider Business Practice Location Address
First Line : 4401 BOOTH CALLOWAY RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-7371
Country : US
Telephone Number : 817-263-6116
Fax Number : 817-263-6117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 08/22/2025

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