Individual
MR. GREGORY BALOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10990 SWITZER AVE STE 301, DALLAS, TX 75238-1363
(214) 221-0277
(214) 221-0858
Mailing address
10990 SWITZER AVE STE 301, DALLAS, TX 75238-1363
(214) 221-0277
(214) 221-0858
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
463819088
PERSONAL ASSISTANCE SERVICE
TX
Enumeration date
09/27/2018
Last updated
09/27/2018
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