Individual
VIREN J BALSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 NORTH LOOP W, SUITE 820, HOUSTON, TX 77008-1664
(713) 861-8200
(713) 861-8261
Mailing address
1415 NORTH LOOP W, SUITE 820, HOUSTON, TX 77008-1664
(713) 861-8200
(713) 861-8261
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G4258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132276001
—
TX
05
—
132276005
—
TX
Enumeration date
10/27/2005
Last updated
10/06/2011
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