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Individual
JOSHUA JAMES METTES BALSAM
Active
Individual
JOSHUA JAMES METTES BALSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06697
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219926701
—
TX
01
—
219926702
CSHCN
TX
Enumeration date
03/29/2010
Last updated
11/27/2023
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