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MANUEL BALDERAS MD NPI 1851404545


NPI Information

NPI: 1851404545
Provider Name: MANUEL BALDERAS, MD
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

Organization: STEWARD MEDICAL GROUP INC

PECOS Registration: Yes

Address:
17720 CORPORATE WOODS DR
SAN ANTONIO, TX
ZIP 78259
Phone: (210) 858-8891
Get Directions

Manuel Balderas, MD is an addiction medicine psychiatry neurology in San Antonio, TX with 44 years of experience. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine Manuel Balderas, MD NPI is 1851404545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17720 CORPORATE WOODS DR
SAN ANTONIO, TX
ZIP 78259-509
Phone: (210) 858-8891
Fax: (210) 858-5861

The NPI 1851404545 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 9/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0802XPsychiatry & NeurologyAddiction PsychiatryL0011TEXASNo
22084A0401XPsychiatry & NeurologyAddiction MedicineL0011TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11408884-02OTHERTPI
28980J7MEDICARE ID-TYPE UNSPECIFIED
3H31639MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.