Organization
BALLEM HARMONY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISA CHE MINANG (OWNER)
(210) 367-1530
Entity
Organization
Contact information
Practice address
4500 CARTER CREEK PKWY STE 101, BRYAN, TX 77802-4464
(210) 367-1530
Mailing address
4500 CARTER CREEK PKWY STE 101, BRYAN, TX 77802-4464
(210) 367-1530
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
02/18/2025
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