Balanced Healthcare Of Texas LLC
Nurse Practitioner in Austin, TX. Organization (NPI-2).
NPI number1467106955
StatusActive
Last updated in NPPESNov 4, 2024
Details
- NPI
- 1467106955
- Entity type
- Organization (NPI-2)
- Legal business name
- Balanced Healthcare Of Texas LLC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2022
- Certification date
- Nov 4, 2024
- Last updated
- Nov 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
5900 Balcones Dr Ste 4000Austin, TX 78731-4257
Phone 210-909-4409 · Fax 210-615-9078
Mailing address
12315 Stable PassSan Antonio, TX 78249-4623
Phone 210-909-4409
Other practice locations
12315 Stable Pass
San Antonio, TX 78249-4623
San Antonio, TX 78249-4623
Phone 210-909-4409
Authorized official
Vivian Palacios Jones
Nurse Practitioner
2109094409
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