Individual
DANIEL DAVID BALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P. L.P.
Contact information
Practice address
4500 S LANCASTER RD, B121, DALLAS, TX 75216-7167
(214) 857-0553
(214) 857-0549
Mailing address
4500 S LANCASTER RD, B121, DALLAS, TX 75216-7167
(214) 857-0553
(214) 857-0549
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
222
TX
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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