Individual
BAL T REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 BRIGGS ST, SUITE 600, SAN ANTONIO, TX 78224-1221
(210) 923-7736
(210) 923-7100
Mailing address
1100 MCCULLOUGH AVE, SUITE 300, SAN ANTONIO, TX 78212-4813
(210) 271-3204
(210) 222-2761
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G6601
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060047791
RAILROAD MEDICARE
TX
05
—
136714612
—
TX
01
—
84856G
BCBS
TX
01
—
8CU333
BCBS
TX
01
—
P00948217
RAILROAD
TX
Enumeration date
07/18/2005
Last updated
01/26/2022
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