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Organization

S. BALACHANDRAN, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUBRAMANIAM BALACHANDRAN MD (PRESIDENT)
(903) 799-3326
Entity
Organization

Contact information

Practice address
1007 S WILLIAM ST, ATLANTA, TX 75551-3245
(903) 799-3326
Mailing address
PO BOX 797, LANCASTER, TX 75146-0797
(254) 694-5092
(254) 694-7039

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G0656
TX

Other

Enumeration date
06/08/2010
Last updated
06/08/2010
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