Deandre Maxwell

NPI 1407982713 · on the registry since 2007

Practice

Address: 1310 M St
Fresno, CA 93721
Phone: (559) 264-2700
Fax: (559) 264-2767
Organisation at this address: Medmark1
Medmark Treatment Centers, Inc.
Medmark Treatment Center Fresno
Medmark Treatment Centers - Fresno West, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 89

Additional practice sites

114 E Shaw Ave Ste 210, Fresno, CA

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California