# DAGOBERTO BALDERAS, DO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457974065
- **Authorized official:** DAGOBERTO BALDERAS DO (OWNER)
- **Authorized official phone:** (512) 643-4400

## Contact information

- **Practice address:** 5424 W HIGHWAY 290 STE 101, AUSTIN, TX 78735-8838
- **Practice address phone:** (512) 643-4400
- **Practice address fax:** (737) 484-0348
- **Mailing address:** 5424 W HIGHWAY 290 STE 101, AUSTIN, TX 78735-8838
- **Mailing address phone:** (512) 643-4400
- **Mailing address fax:** (737) 484-0348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2020
- **Last updated:** 07/06/2020