Provider Demographics
NPI:1740542398
Name:FALKOFF, MAXWELL WESLEY (MD)
Entity type:Individual
Prefix:DR
First Name:MAXWELL
Middle Name:WESLEY
Last Name:FALKOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4590 S PROFESSIONAL DR
Mailing Address - Street 2:APARTMENT 5207
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-6542
Mailing Address - Country:US
Mailing Address - Phone:203-918-9476
Mailing Address - Fax:
Practice Address - Street 1:4590 S PROFESSIONAL DR
Practice Address - Street 2:APARTMENT 5207
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-6542
Practice Address - Country:US
Practice Address - Phone:203-918-9476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2015-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5179207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine