# EDWARD A BALLI, MD PA

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

## Provider details

- **NPI number:** 1376569996
- **Authorized official:** EDWARD ALLEN BALLI M.D. (PRESIDENT)
- **Authorized official phone:** (830) 379-6823

## Contact information

- **Practice address:** 1375 E WALNUT ST, SUITE 400, SEGUIN, TX 78155-5145
- **Practice address phone:** (830) 379-6823
- **Practice address fax:** (830) 379-3898
- **Mailing address:** 1375 E WALNUT ST, SUITE 400, SEGUIN, TX 78155-5145
- **Mailing address phone:** (830) 379-6823
- **Mailing address fax:** (830) 379-3898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H5691 | TX | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 10/12/2007