Organization
BALCONES OBSTETRICS & GYNECOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY E BINFORD MD (PRESIDENT)
(512) 452-8888
Entity
Organization
Contact information
Practice address
3705 MEDICAL PKWY, SUITE 540, AUSTIN, TX 78705-1019
(512) 452-8888
(512) 452-8889
Mailing address
3705 MEDICAL PKWY, SUITE 540, AUSTIN, TX 78705-1019
(512) 452-8888
(512) 452-8889
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K0419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091PN
BLUE CROSS BLUE SHIELD
TX
05
—
168146204
—
TX
Enumeration date
09/19/2007
Last updated
12/13/2010
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