Provider Demographics
NPI:1467495168
Name:MAIDMENT, HELEN J (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:J
Last Name:MAIDMENT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:408 W 45TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-3014
Mailing Address - Country:US
Mailing Address - Phone:512-451-5800
Mailing Address - Fax:512-459-1399
Practice Address - Street 1:3000 NORTH IH 35
Practice Address - Street 2:STE 635
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1804
Practice Address - Country:US
Practice Address - Phone:512-320-1500
Practice Address - Fax:512-320-1588
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH8228207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132351111Medicaid
TX132351111Medicaid
81863KMedicare PIN