Individual
LUIS BALBUENA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 S WASHINGTON AVE, MARSHALL, TX 75670-5337
(903) 927-6880
(903) 927-6884
Mailing address
PO BOX 1325, MARSHALL, TX 75671-1325
(903) 927-6880
(903) 927-6884
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
J5538
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041854301
—
TX
Enumeration date
12/01/2005
Last updated
06/30/2011
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