Individual
GHAZI NA BALIS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
106 HEATHER ST, LUFKIN, TX 75904-4844
(936) 238-0402
Mailing address
106 HEATHER ST, LUFKIN, TX 75904-4844
(936) 238-0402
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1121092
TX
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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