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Individual

DR. BALJIT K SHARMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
50 HILLCREST MEDICAL BLVD STE 104, WACO, TX 76712-8953
(254) 202-7800
(254) 202-7856
Mailing address
PO BOX 848491, DALLAS, TX 75284-8491
(254) 202-9330
(254) 202-9349

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L7556
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
L7556
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD00031714
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0117042
L&I
WA
05
8197030
WA
Enumeration date
11/03/2006
Last updated
03/07/2023
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