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Individual

MR. BRETT JEROME BALCERAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.P.T.

Contact information

Practice address
3818 DECKER DR, BAYTOWN, TX 77520-1662
(281) 424-7557
(281) 424-7567
Mailing address
3818 DECKER DR, BAYTOWN, TX 77520-1662
(281) 424-7557
(281) 424-7567

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1112738
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103949000
US DEPT OF LABOR
TX
01
2272824
FIRST HEALTHCCN
TX
01
6362783
CIGNA
TX
01
7615482
AETNA
TX
01
8T1932
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/30/2006
Last updated
07/31/2013
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