Individual
MR. BRETT JEROME BALCERAK
Active
Individual
MR. BRETT JEROME BALCERAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
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
Update your record
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