Individual
BALRAJ MOHAN SINGH KANWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
802 HOPKINS ST, GARLAND, TX 75040-7379
(214) 266-0700
(214) 266-0796
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L7947
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171717501
—
TX
05
—
171717503
—
TX
05
—
171717504
—
TX
05
—
171717505
—
TX
05
—
171717506
—
TX
01
—
8W8723
BCBS
TX
Enumeration date
02/16/2006
Last updated
11/21/2012
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