Individual
DR. RYAN PATRICK BALOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 W. COLLEGE STREET, BOX # 54, BAYLOR SCOTT & WHITE GRAPEVINE, ATTN TRAUMA SERVICES, GRAPEVINE, TX 76051-3565
(817) 388-3600
(817) 388-3610
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76116-1205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q4897
TX
Other
Enumeration date
05/04/2010
Last updated
11/12/2015
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