Individual
RUDOLPH EDWARD BALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5104
(210) 617-5349
Mailing address
7400 MERTON MINTER BLVD, SAN ANTONIO, TX 78229-4404
(210) 617-5300
(210) 617-5349
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA03012
TX
Other
Enumeration date
09/14/2006
Last updated
01/21/2009
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