Individual
GRACE GLENDA BALDERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N. B.C.
Contact information
Practice address
6800 W IH 10, SUITE 350, SAN ANTONIO, TX 78201-2038
(210) 692-1414
(210) 546-0358
Mailing address
6800 W IH 10, SUITE 350, SAN ANTONIO, TX 78201-2038
(210) 692-1414
(210) 546-0358
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP114274
TX
364S00000X
Clinical Nurse Specialist
AP114274
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
289693YLLW
MEDICARE
TX
05
—
289693YLLW
—
TX
01
—
P01523495
RAILROAD MCR
TX
Enumeration date
01/23/2006
Last updated
01/28/2022
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