Organization
J.G.BAILLARGEON AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE V LOPEZ (INSURANCE COORDINATOR)
(210) 616-0022
Entity
Organization
Contact information
Practice address
8245 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3356
(210) 616-0022
(210) 616-0258
Mailing address
8245 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3356
(210) 616-0022
(210) 616-0258
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
07393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82V170
PTAN
TX
Enumeration date
09/03/2008
Last updated
09/08/2008
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