Organization
DAGOBERTO BALDERAS, DO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAGOBERTO BALDERAS DO (OWNER)
(512) 643-4400
Entity
Organization
Contact information
Practice address
5424 W HIGHWAY 290 STE 101, AUSTIN, TX 78735-8838
(512) 643-4400
(737) 484-0348
Mailing address
5424 W HIGHWAY 290 STE 101, AUSTIN, TX 78735-8838
(512) 643-4400
(737) 484-0348
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
07/06/2020
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