Balderas, Grace Glenda

Balderas, Grace Glenda is an individual health care provider with primary practice located at 6800 W Ih 10 Suite 350, San Antonio TX 78201-2038. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Balderas, Grace Glenda can be contacted via phone (210) 692-1414.

Contact Information

Primary practice address
6800 W Ih 10 Suite 350 San Antonio TX 78201-2038
Phone: (210) 692-1414
Fax: (210) 546-0358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X AP114274 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP114274 Texas

Profile Details

NPI number 1134109366
LBN Legal business name Balderas, Grace Glenda
Credentials A.P.R.N. B.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jan 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134109366 NPPES
Texas Other 289693YLLW MEDICARE
Texas Other P01523495 MEDICARE
Texas MEDICAID 289693YLLW MEDICARE

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