Individual
RYAN BALKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4309 102ND ST, LUBBOCK, TX 79423-5708
(806) 761-0747
(806) 761-0751
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0334
(806) 785-0872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28314
MN
207R00000X
Internal Medicine Physician
64058
MN
207RG0100X
Gastroenterology Physician
2021-01332
NC
207RG0100X
Gastroenterology Physician
Primary
V0686
TX
Other
Enumeration date
03/21/2017
Last updated
09/04/2024
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