Organization
KATHARINE J BALBUENA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHARINE J BALBUENA MD (OWNER)
(903) 927-6640
Entity
Organization
Contact information
Practice address
811 SOUTH WASHINGTON, MARSHALL, TX 75672
(903) 927-6640
(903) 927-6643
Mailing address
PO DRAWER D, MARSHALL, TX 75671
(903) 927-6640
(903) 927-6643
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030QD
BCBS
TX
05
—
029577601
—
TX
Enumeration date
03/22/2006
Last updated
06/26/2009
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