TEODORICO BASALLAJE


Address: 5445 La Sierra Dr, Suite 410, Dallas, TX 75231-4139
Phone: 2143821909

TEODORICO BASALLAJE (NPI# 1811227887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811227887
Entity Type Individual
Full Name TEODORICO BASALLAJE
Credential CFA
Practice Address 5445 La Sierra Dr
Suite 410
Dallas
TX 75231-4139
Practice Telephone 2143821909
Practice Fax Number 2143821903
Mailing Telephone 2143821909
Mailing Fax Number 2143821903
Enumeration Date 2010-01-13
Last Update Date 2010-01-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
7821 TX Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX STATE OF TX 7821 01

Office Location

Street Address 5445 LA SIERRA DR
SUITE 410
City DALLAS
State TX
Zip Code 75231-4139

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518945518 Traci Lenae White Psychiatry & Neurology 5445 La Sierra Dr, Suite 203, Dallas, TX 75231-4139 2006-01-09
1871045906 Paul Mulvany Pharmacist 5445 La Sierra Dr, Ste 202, Dallas, TX 75231-4139 2016-10-24
1396296372 Chelsi Noel Mclain Counselor 5445 La Sierra Dr, Suite 220, Dallas, TX 75231-4139 2016-10-14
1710355680 Carly Burek Dietitian, Registered 5445 La Sierra Dr, 200, Dallas, TX 75231-4139 2015-09-09
1073998738 Taylor & Adams LLC Counselor 5445 La Sierra Dr, Ste 200, Dallas, TX 75231-4139 2015-07-23
1669861878 Shawn Chrisman Counselor 5445 La Sierra Dr, Suite 204, Dallas, TX 75231-4139 2015-01-13
1114348984 Stephen Bell Counselor 5445 La Sierra Dr, Suite 103, Dallas, TX 75231-4139 2013-12-22
1225391493 Insights Collaborative Therapy Group Counselor 5445 La Sierra Dr, Suite 204, Dallas, TX 75231-4139 2012-06-21
1992005268 Touchstone Therapy Group, Inc Clinic/Center 5445 La Sierra Dr, Suite 410, Dallas, TX 75231-4139 2010-11-02
1245530526 Helen J Smith Specialist/Technologist 5445 La Sierra Dr, Suite 410, Dallas, TX 75231-4139 2010-11-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659987022 Specialists In Geriatric and Palliative Care Medicine Pllc Clinic/Center 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 2020-09-21
1013546118 The Legacy Midtown Park, Inc Skilled Nursing Facility 8280 Manderville Lane, Dallas, TX 75231 2020-04-02
1003383373 Northeast Dallas Dentistry, PC Dentist 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 2018-10-25
1518442565 Daniel Max & Marc Andrea LLC Optometrist 6471 E Northwest Hwy, Dallas, TX 75231 2018-09-26
1760964100 Amber Nicole Caruthers Nurse Practitioner 8060 Park Lane, Dallas, TX 75231 2018-09-01
1376024893 Brittany Leigh Stedman Physical Therapist 8130 Meadow Rd, Dallas, TX 75231 2018-08-23
1700367224 Tia Cornelius Occupational Therapy Assistant 8130 Meadow Rd., Dallas, TX 75231 2018-08-23
1538653753 Manju R. Goyal M.d. Psychiatry Pllc Psychiatry & Neurology 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 2018-06-20
1497246813 Stacy Jo Thomas Counselor 10260 N Central Expy Ste 280, Dallas, TX 75231 2018-05-21
1235626615 Texas Health Presbyterian Hospital Dallas Durable Medical Equipment & Medical Supplies 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 2018-04-20
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Taxonomy Information

Taxonomy Code 246ZC0007X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Surgical Assistant

Taxonomy Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871100735 Helpinghandsbyterri, LLC Specialist/Technologist, Other 4050 Mcewen Rd Apt 18102, Dallas, TX 75244-5458 2020-09-24
1780296814 Caleb Colon Specialist/Technologist, Other 11936 Ravenview Rd, Dallas, TX 75253-2923 2020-08-19
1134752595 Benchmark Surgical Assist Specialist/Technologist, Other 5510 Abrams Rd Ste 119a, Dallas, TX 75214-2099 2020-02-13
1093359101 Aaron Helping Hands LLC Specialist/Technologist, Other 1121 Beachview St Apt 1302, Dallas, TX 75218-4613 2019-10-31
1285284083 Misty M Denney Specialist/Technologist, Other 1222 Commerce St Apt 1111, Dallas, TX 75202-4373 2019-09-13
1932699295 Elizabeth Rodriguez Vargas Specialist/Technologist, Other 15905 Bent Tree Forest Cir Apt 1093, Dallas, TX 75248-3402 2018-05-12
1538665849 Jose Manuel Roberti Moccia Specialist/Technologist, Other 9182 Forest Ln Apt 210, Dallas, TX 75243-8939 2018-04-04
1255869335 Andrea Nicole Pennington-peace Specialist/Technologist, Other 1935 Medial District, Dallas, TX 75235 2017-06-01
1104362789 Johnny F Sanchez Sepulveda Specialist/Technologist, Other 13250 Emily Rd, Apt 806, Dallas, TX 75240-5977 2017-01-06
1447606553 Javier Neuman Specialist/Technologist, Other 1333 N Peak St Apt 7200, Dallas, TX 75204-6704 2016-05-06
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Competitor

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City DALLAS
Zip Code 75231

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Dataset Information

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.

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