Edward A Balli, MD PA
Family Medicine in Seguin, TX. Organization (NPI-2).
NPI number1376569996
StatusActive
Last updated in NPPESOct 12, 2007
Details
- NPI
- 1376569996
- Entity type
- Organization (NPI-2)
- Legal business name
- Edward A Balli, MD PA
- Organization subpart
- No
- Enumeration date
- Jul 15, 2006
- Last updated
- Oct 12, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | H5691 | TX | Yes |
Practice location
1375 E Walnut StSuite 400
Seguin, TX 78155-5145
Phone 830-379-6823 · Fax 830-379-3898
Mailing address
1375 E Walnut StSuite 400
Seguin, TX 78155-5145
Phone 830-379-6823 · Fax 830-379-3898
Authorized official
Edward Allen Balli
President
8303796823
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