Edward A Balli, Md Pa

NPI 1376569996 - Family Medicine - 207Q00000X

NPI Details
NPI 1376569996
Enumeration Date 07/15/2006
Last Updated 10/12/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EDWARD ALLEN EDWARD
Position PRESIDENT
Phone (830) 379-6823
Fax (830) 379-3898
Practice Location
1375 E WALNUT ST
SUITE 400
SEGUIN TX, 78155-5145, US
Phone (830) 379-6823
Fax (830) 379-3898
Business Location
1375 E WALNUT ST
SUITE 400
SEGUIN TX, 78155-5145, US
Phone (830) 379-6823
Fax (830) 379-3898
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number H5691
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According to our database, Edward A Balli, Md Pa NPI is 1376569996, taxonomy code is 207Q00000X and license number is H5691, license state is located at Texas. Edward A Balli, Md Pa physically located at 1375 E Walnut St, Seguin TX, 78155-5145. NPI Number 1033115704 has the healthcare provider type.

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1376569996 NPI number is provided on an as is basis without warranty of any kind. 1376569996 is maintained by the National Plan & Provider Enumeration System. The contents of Edward A Balli, Md Pa are for informational purposes only.