Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michelle Balderas, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1164076717

Michelle Balderas, PHYSICIANASSISTANT is a Physician Assistant in Dallas, Texas. Graduated from Emory University School of Medicine in 2018, 8 years ago. Licensed in Texas.

Years since qualifying
8
Trained at
Emory University School of Medicine
Licensed in
TX
In the registry since
2019
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Practice location Address checks out

12201 Merit Dr Ste 300
Dallas, TX 75251-3139
Phone: (214) 294-8989
Fax: (214) 294-8977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA12972 (TX)

Record details

NPI number1164076717
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 31, 2019
Last updated in NPPESJuly 31, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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