Individual
MRS. REBECCA E BALFANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
3220 CENTRAL MALL DR, PORT ARTHUR, TX 77642-8037
(409) 729-7900
(409) 729-7900
Mailing address
890 LARKSPUR LN, BEAUMONT, TX 77706-4446
(409) 679-9125
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
831310
TX
Other
Enumeration date
10/17/2017
Last updated
02/14/2018
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