Individual
MAUREEN BALCAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1901 N US HIGHWAY 87, BIG SPRING, TX 79720-0283
(432) 267-8216
Mailing address
3200 BROMLEY PL APT J201, MIDLAND, TX 79705-1640
(432) 271-2530
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1070814
TX
Other
Enumeration date
07/20/2021
Last updated
02/14/2022
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