Ranga Balasekaran Md Pa

NPI 1164771515 - Internal Medicine - 207RG0100X

NPI Details
NPI 1164771515
Enumeration Date 08/31/2012
Last Updated 08/31/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RANGA RANGA
Position PRESIDENT
Phone (903) 792-4146
Fax (903) 792-0586
Practice Location
1002 TEXAS BLVD STE 401
TEXARKANA TX, 75501-5113, US
Phone (903) 792-4146
Fax (903) 792-0586
Business Location
8201 YUKON AVE
TEXARKANA TX, 75503-9056, US
Phone (903) 792-4146
Fax (903) 792-0586
Toxanomy
Taxonomy Code 207RG0100X
License State Texas
License Number K5792
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According to our database, Ranga Balasekaran Md Pa NPI is 1164771515, taxonomy code is 207RG0100X and license number is K5792, license state is located at Texas. Ranga Balasekaran Md Pa physically located at 1002 Texas Blvd Ste 401, Texarkana TX, 75501-5113. NPI Number 1033115704 has the healthcare provider type.

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1164771515 NPI number is provided on an as is basis without warranty of any kind. 1164771515 is maintained by the National Plan & Provider Enumeration System. The contents of Ranga Balasekaran Md Pa are for informational purposes only.