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NPI Code Detail

MEDICARE: ALFREDO JOSE DAVALOS-BALDERAS M.D.

MEDICARE:   ALFREDO JOSE DAVALOS-BALDERAS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianMD20850RI
22084N0400XNeurology Physician4301114338MI

General Provider Information

NPI Number : 1851735831
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFREDO JOSE DAVALOS-BALDERAS M.D.
Provider Business Mailing Address
First Line : 7490 BROMPTON ST APT 143
Second Line :
City : HOUSTON
State : TX
Zip : 77025-2276
Country : US
Telephone Number : 832-371-2534
Fax Number :
Provider Business Practice Location Address
First Line : 1201 E MICHIGAN AVE STE 240
Second Line :
City : JACKSON
State : MI
Zip : 49201-1855
Country : US
Telephone Number : 517-205-7620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2013
Last Update Date : 10/28/2025

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Directions to “ ALFREDO JOSE DAVALOS-BALDERAS M.D.” Practice Location

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