Teodorico Basallaje, CFA
Teodorico Basallaje, CFA is a Surgical Assistant in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2010
Practice location Address checks out
5445 La Sierra Dr Ste 410Dallas, TX 75231-4139
Phone: (214) 382-1909
Fax: (214) 382-1903
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Specialties & licences
| Surgical Assistant (primary) | Taxonomy 246ZC0007X · Licence 7821 (TX) |
|---|
Record details
| NPI number | 1811227887 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CFA |
| Sole proprietor | Yes |
| NPI enumerated | January 13, 2010 |
| Last updated in NPPES | January 13, 2010 |
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