Provider Demographics
NPI:1588866370
Name:BALDERAS, VALESKA (MD)
Entity type:Individual
Prefix:
First Name:VALESKA
Middle Name:
Last Name:BALDERAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:110 E SAVANNAH AVE BLDG C101
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1242
Mailing Address - Country:US
Mailing Address - Phone:956-686-2626
Mailing Address - Fax:956-686-1616
Practice Address - Street 1:801 E NOLANA AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-686-2626
Practice Address - Fax:956-686-1616
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6034207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology