Individual
ELIZABETH SVYATOSLAVNA BALYAKINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MPH, DO
Contact information
Practice address
1055 ADA ST, SAN ANTONIO, TX 78223-1703
(210) 358-5515
(210) 358-5530
Mailing address
1055 ADA ST, SAN ANTONIO, TX 78223-1703
(210) 358-5909
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
R9466
TX
207Q00000X
Family Medicine Physician
Primary
R9466
TX
Other
Enumeration date
02/23/2017
Last updated
05/11/2026
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