Individual
DAVID SCOTT BALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J3974
TX
208D00000X
General Practice Physician
J3974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139323312
—
TX
Enumeration date
03/23/2006
Last updated
05/06/2025
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