Provider Demographics
NPI:1699740951
Name:PALAFOX, MARIA A (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:PALAFOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 W OAKLAWN RD
Mailing Address - Street 2:#319
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064-4039
Mailing Address - Country:US
Mailing Address - Phone:210-504-5053
Mailing Address - Fax:
Practice Address - Street 1:8235 S NEW BRAUNFELS STE 201
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78235-4439
Practice Address - Country:US
Practice Address - Phone:210-504-5053
Practice Address - Fax:210-504-5061
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2516208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178088407Medicaid
I47002Medicare UPIN