Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 09365 | TX |
NPI | 1003369497 |
---|---|
Provider Name | Ms. Argentina Balderrama |
First Address | San Antonio, TX 78240 |
Second Address | San Antonio, TX 78209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2016 |
Last Update Date | 02/08/2016 |