Individual
MICHELLE DEAN BARAJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 N SANTA ROSA ST, SUITE F3725, SAN ANTONIO, TX 78207-3108
(210) 704-3039
(210) 704-4922
Mailing address
333 N SANTA ROSA ST, SUITE F3725, SAN ANTONIO, TX 78207-3108
(210) 704-3039
(210) 704-4922
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
200646
LA
208000000X
Pediatrics Physician
Primary
K9721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356841
—
LA
05
—
191887202
—
TX
01
—
8DA264
BCBS
TX
Enumeration date
07/16/2006
Last updated
02/13/2015
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