Active NPI
Balle Wellness Consortium, Inc.
Doing business as Balle Bliss
- Family Medicine Physician
- Cypress, TX
National Provider Identifier
1356656870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M3395
- Legal business name
- BALLE WELLNESS CONSORTIUM, INC.
- Doing business as
- Balle Bliss
- Practice address
- 13611 Skinner Rd
Suite 270
Cypress, TX 77429-1018 - Phone
- (281) 758-2777
- Fax
- (281) 758-2843
- NPI assigned
- Aug 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gurmanjit Singh Chatha
- Title
- MD
- Phone
- (281) 758-2777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M3395 | TX | Primary |
Addresses
Primary practice location
13611 Skinner Rd
Suite 270
Cypress, TX 77429-1018
Mailing address
13611 Skinner Rd
Suite 270
Cypress, TX 77429-1018
Phone (281) 758-2777
Other names 1
- BALLE BLISS
National Provider Directory
National Provider DirectoryLocations
13611 Skinner Rd
Ste 270
Cypress, TX 77429
Phone (281) 758-2777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293408000000",
"number": "1356656870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13611 SKINNER RD",
"address_2": "SUITE 270",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774291018",
"telephone_number": "281-758-2777",
"fax_number": "281-758-2843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13611 SKINNER RD",
"address_2": "SUITE 270",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774291018",
"telephone_number": "281-758-2777",
"fax_number": "281-758-2843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALLE WELLNESS CONSORTIUM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-09",
"last_updated": "2010-12-27",
"status": "A",
"authorized_official_last_name": "CHATHA",
"authorized_official_first_name": "GURMANJIT",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "281-758-2777",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "M3395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BALLE BLISS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.