# BODIES IN BALANCE MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235406729
- **Authorized official:** EMILIO R CARDONA MD (OWNER)
- **Authorized official phone:** (713) 395-6308

## Contact information

- **Practice address:** 4151 SW FWY, STE 210, HOUSTON, TX 77027-7312
- **Practice address phone:** (713) 395-6308
- **Practice address fax:** (713) 758-0153
- **Mailing address:** PO BOX 25401, HOUSTON, TX 77265-5401
- **Mailing address phone:** (713) 395-6308
- **Mailing address fax:** (713) 758-0153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | TX | Yes |
| 2084N0400X | Neurology Physician | E5353 | TX | — |
| 208D00000X | General Practice Physician | E5353 | TX | — |

## Other

- **Enumeration date:** 11/28/2011
- **Last updated:** 10/18/2013