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

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.

Title

President

Phone

(210) 225-3006

Specialties & licenses 1

Addresses

Locations

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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• Providers in San Antonio, TX by specialty
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• 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.