Individual
MRS. BHAGYA LAKSHMI BALASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4001 BASHFUL DR, PLANO, TX 75093-6977
(732) 859-7429
Mailing address
4001 BASHFUL DR, PLANO, TX 75093-6977
(732) 859-7429
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP131416
TX
363LG0600X
Gerontology Nurse Practitioner
AP131416
TX
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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