Organization
BODIES IN BALANCE MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIO R CARDONA MD (OWNER)
(713) 395-6308
Entity
Organization
Contact information
Practice address
4151 SW FWY, STE 210, HOUSTON, TX 77027-7312
(713) 395-6308
(713) 758-0153
Mailing address
PO BOX 25401, HOUSTON, TX 77265-5401
(713) 395-6308
(713) 758-0153
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
TX
2084N0400X
Neurology Physician
E5353
TX
208D00000X
General Practice Physician
E5353
TX
Other
Enumeration date
11/28/2011
Last updated
10/18/2013
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