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Individual

RAJARAM BALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
343 W HOUSTON STREET, SUITE 1002, SAN ANTONIO, TX 78205-2268
(210) 225-3006
(210) 271-7755
Mailing address
343 W HOUSTON ST, SUITE 1002, SAN ANTONIO, TX 78205-2268
(210) 225-3006
(210) 271-7755

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
E4968
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
TX
Enumeration date
09/20/2006
Last updated
06/07/2010
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