R. BALA M.D. P. A. NPI 1295064780

NPI Information

R. BALA, M.D. P. A. is a plastic and reconstructive surgery surgery in San Antonio, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. R. BALA, M.D. P. A. NPI is 1295064780. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

343 W HOUSTON ST
SUITE 1002
SAN ANTONIO, TX
ZIP 78205-268
Phone: (210) 225-3006
Fax: (210) 271-7755

The provider's authorized official is Rajaram Bala .
The authorized official title is President and has the following contact phone number (210) 225-3006.

The enumeration date for this NPI number is 12/14/2009 and was last updated on 10/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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