Organization Active NPI

Balanced Healthcare of Texas LLC

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1467106955
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BALANCED HEALTHCARE OF TEXAS LLC
Practice address
5900 Balcones Dr Ste 4000
Austin, TX 78731-4257
Phone
(210) 909-4409
Fax
(210) 615-9078
NPI assigned
Feb 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Vivian Palacios Jones
Title
Nurse Practitioner
Phone
(210) 909-4409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 4000
Austin, TX 78731-4257

Mailing address

12315 Stable Pass
San Antonio, TX 78249-4623
Phone (210) 909-4409

Other practice location 1

12315 Stable Pass
San Antonio, TX 78249-4623
Phone (210) 909-4409

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1467106955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 STABLE PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494623",
            "telephone_number": "210-909-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 4000",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "210-909-4409",
            "fax_number": "210-615-9078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12315 Stable Pass",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782494623",
            "country_code": "US",
            "telephone_number": "210-909-4409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED HEALTHCARE OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "PALACIOS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "210-909-4409"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.