Balderas, Teresita G

Balderas, Teresita G is an sole proprietor health care provider with primary practice located at 84 Ne Loop 410 Suite 140, San Antonio TX 78216-5802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Balderas, Teresita G can be contacted via phone (210) 344-0506.

Contact Information

Primary practice address
84 Ne Loop 410 Suite 140 San Antonio TX 78216-5802
Phone: (210) 344-0506
Fax: (210) 344-3512
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X L0757 Texas

Profile Details

NPI number 1306989975
LBN Legal business name Balderas, Teresita G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Apr 3rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306989975 NPPES
Texas MEDICAID 151316001

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