Individual
ROY DEREK BALDERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5757 N KNOLL, SAN ANTONIO, TX 78240-2239
(210) 699-8535
(210) 699-8674
Mailing address
6023 WOOD PASS, SAN ANTONIO, TX 78249-1922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2007977
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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