| NPI | 1962656199 |
|---|---|
| Doing Business As | JORGE MALDONADO |
| Entity Type | Organization |
| Authorized Contact | TAMMY FOUNTAIN Office Manager 210-541-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX K2359) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2010-09-21 |