Individual
MICHELLE BALDERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
12201 MERIT DR STE 300, DALLAS, TX 75251-3139
(214) 294-8989
(214) 294-8977
Mailing address
208 NORTH ST, LEWISVILLE, TX 75057-3144
(214) 450-9048
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12972
TX
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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