Balbuena, Luis

Balbuena, Luis is an individual health care provider with primary practice located at 703 S Washington Ave , Marshall TX 75670-5337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Balbuena, Luis can be contacted via phone (903) 927-6880.

Contact Information

Primary practice address
703 S Washington Ave Marshall TX 75670-5337
Phone: (903) 927-6880
Fax: (903) 927-6884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X J5538 Texas

Profile Details

NPI number 1649254749
LBN Legal business name Balbuena, Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jun 30th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649254749 NPPES
Texas MEDICAID 041854301

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