Individual
DR. KELLY MARIE BASALDUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9150 HUEBNER RD STE 155, SAN ANTONIO, TX 78240-1598
(210) 465-1800
(210) 899-1006
Mailing address
9150 HUEBNER RD STE 155, SAN ANTONIO, TX 78240-1598
(210) 465-1800
(210) 899-1006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P6137
TX
Other
Enumeration date
04/22/2010
Last updated
02/27/2022
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