MANUEL BALDERAS (NPI# 1851404545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851404545 |
| Entity Type | Individual |
| Full Name | MANUEL BALDERAS |
| Credential | MD |
| Practice Address |
17720 Corporate Woods Dr San Antonio TX 78259-3509 |
| Mailing Address |
6031 Wood Pass San Antonio TX 78249-1922 |
| Practice Telephone | 2108588891 |
| Practice Fax Number | 2108585861 |
| Mailing Telephone | 2106175130 |
| Mailing Fax Number | 2106175178 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
L0011 | TX | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
L0011 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TPI | 1408884-02 | 01 |
| Street Address |
17720 CORPORATE WOODS DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78259-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316932650 | George B Schneider | Internal Medicine | 17720 Corporate Woods Dr, San Antonio, TX 78259-3500 | 2005-09-13 |
| 1992267801 | Raul Rivas | Licensed Vocational Nurse | 17720 Corporate Woods Dr, San Antonio, TX 78259-3500 | 2019-04-01 |
| 1013489855 | Isabelle Bernadette Duque De Estrada | Counselor | 17720 Corporate Woods Dr, San Antonio, TX 78259-3500 | 2018-12-18 |
| 1548769813 | April M Archuleta | Nurse Practitioner | 17720 Corporate Woods Dr, San Antonio, TX 78259-3500 | 2018-02-01 |
| 1902255102 | Kambiz Jahanian | Psychiatry & Neurology | 17720 Corporate Woods Dr, San Antonio, TX 78259-3500 | 2016-06-08 |
| 1801256169 | Calmm Staffing LLC | Psychiatric Hospital | 17720 Corporate Woods Dr, San Antonio, TX 78259-3500 | 2016-02-29 |
| 1154703569 | Stephen Vincent Check | Registered Nurse | 17720 Corporate Woods Dr, San Antonio, TX 78259-3500 | 2015-06-22 |
| 1659774156 | Olga C Chaves | Physician Assistant | 17720 Corporate Woods Dr, San Antonio, TX 78259-3500 | 2014-09-29 |
| 1902216427 | Ijeoma Ajufo | Psychiatry & Neurology | 17720 Corporate Woods Dr, San Antonio, TX 78259 | 2014-05-06 |
| 1902169626 | Martha Jeanette Quiroga | Psychiatry & Neurology | 17720 Corporate Woods Dr, San Antonio, TX 78259-3500 | 2012-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952893448 | Greater Texas Palliative Care Services Pllc | Internal Medicine | 21806 Barton Woods, San Antonio, TX 78259 | 2018-05-31 |
| 1336639467 | Kriti Juneja | Behavioral Analyst | 21303 Encino Cmns Apt No1707, San Antonio, TX 78259 | 2018-05-14 |
| 1699121871 | Jesse Frank Delacruz | Nurse Practitioner | 21103 Simi Valley Drive, San Antonio, TX 78259 | 2016-05-06 |
| 1194139063 | Summer Ashley Kotson | Chiropractor | 2719 Rancho Mirage, San Antonio, TX 78259 | 2014-06-18 |
| 1194166645 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2502 Marshall Rd, San Antonio, TX 78259 | 2013-07-12 |
| 1174882369 | John Adams, Md Psychiatry Pllc | Psychiatric Unit | 17720 Corporate Woods Drive, San Antonio, TX 78259 | 2012-05-09 |
| 1508156589 | Kiddo Dental Pa | Dentist | 20306 Encino Ledge Ste 106, Kiddo Dental, San Antonio, TX 78259 | 2011-04-12 |
| 1386824217 | Austin Joseph Garrison | Dentist | 22100 Bulverde Rd, Suite 114, San Antonio, TX 78259 | 2007-11-08 |
| 1568584670 | Michael John Norgard | Internal Medicine | 226 Roseheart, San Antonio, TX 78259 | 2007-04-06 |
| 1225178817 | Texas Midwives Group | Midwife | 2211 Tworivers Dr., San Antonio, TX 78259 | 2007-02-06 |
| Find all providers in zip 78259 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| 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 |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245315845 | Raul G Rodriguez | Psychiatry & Neurology | 17720 Corporate Woods Dr., San Antonio, TX 78259-3500 | 2006-10-25 |
| 1255802278 | Bienestar Inc. | Psychiatry & Neurology | 11503 Jones Maltsberger Rd Ste 1106, San Antonio, TX 78216-2630 | 2018-12-17 |
| 1851403984 | Boyce Elliott IIi | Psychiatry & Neurology | 4242 Medical Dr, Suite 7100, San Antonio, TX 78229-5640 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467926626 | Carma Specialty Health Pllc | Psychiatry & Neurology | 630 W 34th St Ste 301a, Austin, TX 78705-1232 | 2019-01-21 |
| 1659849909 | Sanative LLC | Psychiatry & Neurology | 9900 N Central Expy Ste 555, Dallas, TX 75231-0984 | 2018-11-05 |
| 1881074110 | Medical & Psychiatric Associates of South Texas, Pllc | Psychiatry & Neurology | 3401 Padre Blvd Ste B, South Padre Island, TX 78597-7125 | 2015-06-02 |
| 1700114055 | James M. May, M.d., P.a. | Psychiatry & Neurology | 6625 Wooldridge Rd Ste 402, Corpus Christi, TX 78414-2916 | 2009-11-25 |
| 1386807659 | Medcare Clinc | Psychiatry & Neurology | 12834 Willow Ctr Ste E, Houston, TX 77066-3047 | 2008-07-08 |
| 1316105232 | Gloria Arko Maguadog | Psychiatry & Neurology | 4800 W 34th St Ste B3, Houston, TX 77092-6661 | 2008-05-28 |
| 1255509907 | Luke Peris Md | Psychiatry & Neurology | 14800 Quorum Dr Ste 465, Dallas, TX 75254-1420 | 2008-02-15 |
| 1871717884 | Adib Rizkallah Mikhail | Psychiatry & Neurology | 34 Leisure Lane, The Woodlands, TX 77380-1322 | 2007-04-12 |
| 1336209147 | Oscar E Perez | Psychiatry & Neurology | 1400 N El Paso St Ste A, 1400 N El Paso St Bldg A, El Paso, TX 79902-3438 | 2006-12-11 |
| 1861565798 | Syed Ahmed | Psychiatry & Neurology | 1301 Link Rd, League City, TX 77573-6313 | 2006-11-16 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78259 |
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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.