Provider Demographics
NPI:1215564133
Name:MALTEZ SALVADOR, KARLA LISSETH (MD)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:LISSETH
Last Name:MALTEZ SALVADOR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4510 MEDICAL CENTER DR STE 311
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1604
Mailing Address - Country:US
Mailing Address - Phone:972-540-6256
Mailing Address - Fax:972-540-5071
Practice Address - Street 1:4510 MEDICAL CENTER DR STE 311
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1604
Practice Address - Country:US
Practice Address - Phone:972-540-6256
Practice Address - Fax:972-540-5071
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXU5750207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1215564133Medicaid