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

Teodorico Basallaje, CFA

Individual provider Surgical Assistant · NPI 1811227887

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 410
Dallas, TX 75231-4139
Phone: (214) 382-1909
Fax: (214) 382-1903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 7821 (TX)

Record details

NPI number1811227887
Entity typeIndividual (Type 1)
GenderMale
Credentials CFA
Sole proprietorYes
NPI enumeratedJanuary 13, 2010
Last updated in NPPESJanuary 13, 2010
Mailing address5445 La Sierra Dr, Suite 410, Dallas, TX 75231-4139

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