Marichu Mabasa Balmes, MD
Family Medicine in San Antonio, TX. Individual provider (NPI-1).
NPI number1104857366
StatusActive
Last updated in NPPESJun 1, 2022
Details
- NPI
- 1104857366
- Entity type
- Individual (NPI-1)
- Name
- Marichu Mabasa Balmes
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2006
- Certification date
- Jun 1, 2022
- Last updated
- Jun 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | K3981 | TX | Yes |
| 207Q00000X | Family Medicine | 0101056314 | VA |
Other names
- Marichu Mabasa Balmes (Other Name)
Practice location
7400 Merton Minter StSan Antonio, TX 78229-4404
Phone 210-617-5300
Mailing address
7400 Merton Minter StSan Antonio, TX 78229-4404
Phone 210-617-5300
Other practice locations
549 E Brambleton Ave
Norfolk, VA 23510-2905
Norfolk, VA 23510-2905
Phone 757-533-9441 · Fax 757-446-1454
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