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Dylan Maldonado, MD
Student in an Organized Health Care Education/Training Program in Lubbock, Texas
NPI 1699234583

Dylan Maldonado is a Student in an Organized Health Care Education/Training Program based in Bellaire, TX. Dylan Maldonado practices in Lubbock, TX and has the professional credentials of MD. The NPI Number for Dylan Maldonado is 1699234583 and holds a License No. BP10071165 (Texas).

The current practice location address for Dylan Maldonado is 3601 4Th St Stop 9400, Lubbock, TX and can be reached out via phone at 806-743-1842.

Location: 3601 4Th St Stop 9400, Lubbock, TX, 77401-3535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699234583
Provider Name
Dylan Maldonado
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3601 4Th St Stop 9400, Lubbock, TX, 77401-3535
Phone Number
806-743-1842
Fax Number
Provider Enumeration Date
03/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3601 4Th St Stop 9400
City
Lubbock
State
Texas
Zip
79430-6500
Phone Number
806-743-1842
Fax Number
person
Provider Business Mailing Address Details
Address
3601 4Th St Stop 9400
City
Lubbock
State
Texas
Zip
79430-6500
Phone Number
806-743-1842
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10071165 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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