Organization
EDWARD A BALLI, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ALLEN BALLI M.D. (PRESIDENT)
(830) 379-6823
Entity
Organization
Contact information
Practice address
1375 E WALNUT ST, SUITE 400, SEGUIN, TX 78155-5145
(830) 379-6823
(830) 379-3898
Mailing address
1375 E WALNUT ST, SUITE 400, SEGUIN, TX 78155-5145
(830) 379-6823
(830) 379-3898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H5691
TX
Other
Enumeration date
07/15/2006
Last updated
10/12/2007
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