Organization
PHILLIP BALFANZ, MD PLLC
Active
Other names
Live Oak Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP EUGENE BALFANZ MD (OWNER/DIRECTOR)
(830) 538-0127
Entity
Organization
Contact information
Practice address
123 COMMERCE ST STE A, KERRVILLE, TX 78028-4951
(830) 538-0127
Mailing address
123 COMMERCE ST STE A, KERRVILLE, TX 78028-4951
(830) 538-0127
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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