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DR. JACQUES G. BAILLARGEON MD

Clinical Neuropsychologist

San Antonio, Texas

Provider NPI: 1144212150

Provider Information:
DR. JACQUES G. BAILLARGEON MD
Gender: M
Not Sole Proprietor

Practice Location:
8245 FREDERICKSBURG RD  SAN ANTONIO, TX 78229 US
Tel: 210-616-0022  Fax: 210-616-0258

Business Mailing Address:
8245 FREDERICKSBURG RD  SAN ANTONIO, TX 78229 US
Tel: 210-616-0022  Fax: 210-616-0258

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TXD7393

Other Provider Identifiers:

IssuerNumberStateType
083613201TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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