Alejandro Balderas
Individual provider Active NPI Occupational Therapy Assistant · Palmhurst, TX
NPI 1366830747 · NPPES record last updated Jan 7, 2015
Key facts
- NPI
- 1366830747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 212871 (TX)
- Practice address
- 123 W Mile 3 Rd
Palmhurst, TX 78573-1633 - Phone
- (956) 585-9889
- Fax
- (956) 585-9896
- NPI assigned
- Jan 7, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212871 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 212871 | TX | Yes |
Addresses
Primary practice location
123 W Mile 3 Rd
Palmhurst, TX 78573-1633
Mailing address
123 W Mile 3 Rd
Palmhurst, TX 78573-1633
Phone (956) 585-9889
Other providers in Palmhurst, TX
- All Children'S Pediatric Clinic, P.a.
- Karen Alvarez
- Amigos Para Siempre Provider Service LLC
- Amigos Por Siempre Adult Day Care, LLC
- Armendariz Family Clinic PLLC
- Tina Bashar
- BC Corp PLLC
- Myrna Benavides
- Michelle Monique Brookshire
- Elizabeth Ann Burke
All providers in Palmhurst, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.