Provider Demographics
NPI:1235584210
Name:MALDONADO, VIOLET
Entity Type:Individual
Prefix:
First Name:VIOLET
Middle Name:
Last Name:MALDONADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3270 JOE BATTLE BLVD STE 275
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-2670
Mailing Address - Country:US
Mailing Address - Phone:915-271-4600
Mailing Address - Fax:915-271-4601
Practice Address - Street 1:3270 JOE BATTLE BLVD STE 275
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-2670
Practice Address - Country:US
Practice Address - Phone:915-271-4600
Practice Address - Fax:915-271-4601
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS5694207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology