R. Bala, M.D. P. a.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

E4968 Issued in TX

Legal business name

R. BALA, M.D. P. A.

Practice address

343 W Houston St
Suite 1002
San Antonio, TX 78205-2268

Phone

(210) 225-3006

Fax

(210) 271-7755

NPI assigned

Dec 14, 2009

Last updated

Oct 5, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rajaram Bala, M.D.NPI 1457459919

Title

President

Phone

(210) 225-3006

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajaram Bala, MD

  • Plastic and Reconstructive Surgery Physician
  • San Antonio, TX
  • NPI 1457459919
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1295064780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE 1002",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052268",
            "telephone_number": "210-225-3006",
            "fax_number": "210-271-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE 1002",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052268",
            "telephone_number": "210-225-3006",
            "fax_number": "210-271-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. BALA, M.D. P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "BALA",
        "authorized_official_first_name": "RAJARAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-225-3006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "E4968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic and Reconstructive Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.