Organization
BHUVANA BALASEKARAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORENA P BUENDIA (OFFICE MANAGER)
(432) 570-4500
Entity
Organization
Contact information
Practice address
1301 W WALL ST, STE C, MIDLAND, TX 79701-6621
(432) 570-4500
(432) 522-2115
Mailing address
1301 W WALL ST, STE C, MIDLAND, TX 79701-6621
(432) 570-4500
(432) 522-2115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L2794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041JJ
BLUE CROSS BLUE SHIELD
TX
05
—
153987601
—
TX
Enumeration date
01/18/2013
Last updated
01/18/2013
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