Basallaje, Teodorico

Basallaje, Teodorico is an sole proprietor health care provider with primary practice located at 5445 La Sierra Dr Suite 410, Dallas TX 75231-4139. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Basallaje, Teodorico can be contacted via phone (214) 382-1909.

Contact Information

Primary practice address
5445 La Sierra Dr Suite 410 Dallas TX 75231-4139
Phone: (214) 382-1909
Fax: (214) 382-1903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 7821 Texas

Profile Details

NPI number 1811227887
LBN Legal business name Basallaje, Teodorico
Credentials CFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2010
Last updated Jan 13th, 2010 - about 14 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 1811227887 NPPES
Texas Other 7821 STATE OF TX

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