Provider Demographics
NPI:1881984029
Name:MAESE, CESAR (FNP-C)
Entity type:Individual
Prefix:MR
First Name:CESAR
Middle Name:
Last Name:MAESE
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 S COULTER ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1763
Mailing Address - Country:US
Mailing Address - Phone:806-358-9111
Mailing Address - Fax:806-358-3728
Practice Address - Street 1:1301 S COULTER ST
Practice Address - Street 2:SUITE 405
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1763
Practice Address - Country:US
Practice Address - Phone:806-358-9111
Practice Address - Fax:806-358-3728
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX742264363LF0000X
TXAP120174363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2824047Medicaid