BALANCE FAMILY MEDICINE LLLP NPI 1912345646

NPI Information

NPI: 1912345646
Provider Name: BALANCE FAMILY MEDICINE, LLLP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 45D2268230

Address:
460 PARK GROVE DR
KATY, TX
ZIP 77450
Phone: (413) 862-2563
Get Directions

BALANCE FAMILY MEDICINE, LLLP is a multi-specialty clinic center in Katy, TX. BALANCE FAMILY MEDICINE, LLLP NPI is 1912345646. The provider is registered as an organization entity type.

The provider's business location address is:

460 PARK GROVE DR
KATY, TX
ZIP 77450-571
Phone: (413) 862-2563
Fax: (203) 493-8028

The provider's authorized official is Felicity L Mack .
The authorized official title is Owner and has the following contact phone number (413) 862-2563.

The CLIA number assigned to this NPI record is 45D2268230 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2013 and was last updated on 9/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	P1564	TEXAS	No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4166548	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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