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Michelle Balderas, Physician Assistant

Physician Assistant, Medical in Dallas, TX. Individual provider (NPI-1).

NPI number1164076717
StatusActive
Last updated in NPPESJul 31, 2019

Details

NPI
1164076717
Entity type
Individual (NPI-1)
Name
Michelle Balderas
Credential
Physician Assistant
Sex
Female
Sole proprietor
No
Enumeration date
Jul 31, 2019
Last updated
Jul 31, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA12972TXYes

Practice location

12201 Merit Dr Ste 300
Dallas, TX 75251-3139

Phone 214-294-8989 · Fax 214-294-8977

Mailing address

208 North St
Lewisville, TX 75057-3144

Phone 214-450-9048

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