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Individual

BAL REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6410 FANNIN ST STE 170, HOUSTON, TX 77030-3003
(832) 325-6500
Mailing address
6431 FANNIN ST STE JJL 308, HOUSTON, TX 77030-1501
(713) 500-5095

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2039
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
177993601
TX
01
8S6144
BCBS
TX
Enumeration date
07/05/2006
Last updated
08/29/2023
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