Individual
DR. ALFRED BALASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-2500
(682) 885-2510
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 303-7132
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
28962
WV
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
T6826
TX
Other
Enumeration date
04/15/2013
Last updated
05/02/2025
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