DAGOBERTO BALDERAS, DO, PLLC (NPI# 1457974065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457974065 |
| Entity Type | Organization |
| Organization Name | DAGOBERTO BALDERAS, DO, PLLC |
| Practice Address |
5424 W Highway 290 Ste 101 Austin TX 78735-8838 |
| Practice Telephone | 5126434400 |
| Practice Fax Number | 7374840348 |
| Mailing Telephone | 5126434400 |
| Mailing Fax Number | 7374840348 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | DAGOBERTO BALDERAS (OWNER) |
| Authorized Official Telephone | 5126434400 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
5424 W HIGHWAY 290 STE 101 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78735-8838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959748 | Si Shou Acupuncture and Wellness, Pllc | Acupuncturist | 5424 W Us Hwy 290 Service Rd, Ste #106, Austin, TX 78735 | 2020-07-10 |
| 1982221115 | Andrea Fackler | Counselor | 4425 S. Mopac Expressway, Building 3, Suite 503, Austin, TX 78735 | 2020-07-03 |
| 1134763162 | Amanda Enzbigilis | Physical Therapist | 5251 W Us Highway 290, Austin, TX 78735 | 2019-11-02 |
| 1427616408 | Soco Psychotherapy, Inc | Counselor | 4425 Mopac Expressway South, Bldg II, Suite 204, Austin, TX 78735 | 2019-06-04 |
| 1306306154 | Kelly Bolerjack | Doula | 4400 Twisted Tree Drive, Austin, TX 78735 | 2019-03-20 |
| 1407362619 | Sara Katherine Paules | Counselor | 4425 South Mopac Expy, Suite 502, Austin, TX 78735 | 2017-12-26 |
| 1851806418 | Circle Medical Care of Texas P. A. | Internal Medicine | 5424 W. Us Hwy 290, 101, Austin, TX 78735 | 2017-12-05 |
| 1699293266 | Derek Kalvin Vo | Dentist | 7612 W Highway 71 Ste B, Austin, TX 78735 | 2017-09-05 |
| 1588189013 | Rachel Caroline Boraten | Audiologist | 5625 Eiger Rd Ste 125, Austin, TX 78735 | 2017-08-05 |
| 1669908489 | Lesley Caldwell Ma Lpc Pllc | Counselor | 4425 South Mopac Expy., Building IIi, Suite 603, Austin, TX 78735 | 2017-05-11 |
| Find all providers in zip 78735 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1356858377 | Where R U Now, LLC | General Practice | 7110 Cameron Rd Ste E, Austin, TX 78752-2868 | 2017-12-29 |
| 1073066239 | The University of Texas At Austin | General Practice | 1601 Trinity Street, Austin, TX 78712 | 2016-07-25 |
| 1306291620 | Healthy Schools Texas Pllc | General Practice | 9415 Burnet Rd, Ste 309b, Austin, TX 78758-5255 | 2016-04-25 |
| 1649694035 | John Maxwell | General Practice | 12817 Hacienda Rdg, Austin, TX 78738-7652 | 2014-02-06 |
| 1982031852 | Total Md Physicians Group, Pllc | General Practice | 12717 Shops Pkwy, Suite 500, Austin, TX 78738-6621 | 2013-10-08 |
| 1932440245 | Travis County Employee Wellness & Health | General Practice | 1010 Lavaca St # 221, Austin, TX 78701-2331 | 2013-03-12 |
| 1447590765 | David L King | General Practice | 10609 Pickfair Dr, Austin, TX 78750-4010 | 2013-02-23 |
| 1407101744 | Susan Elizabeth Zane | General Practice | 100 Pascal Ln, Austin, TX 78746-2506 | 2012-07-23 |
| 1750671137 | Veena Reddy | General Practice | 808 Stonewall Ridge Ln, Austin, TX 78746-6396 | 2011-04-19 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.