Individual
MISS ANITA BALAKRISHNA RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17218 PRESTON RD STE 2000, DALLAS, TX 75252-4018
(877) 866-7123
Mailing address
PO BOX 742712, ATLANTA, GA 30374-2712
(877) 866-7123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35093073
OH
207Q00000X
Family Medicine Physician
Primary
R1112
TX
208600000X
Surgery Physician
57.013264
OH
208600000X
Surgery Physician
R1112
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369825001
—
TX
Enumeration date
10/24/2007
Last updated
03/12/2026
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