EDWARD A BALLI, MD PA
Marriage and Family Therapists at Walnut St, Seguin, TX

License number
Texas H5691
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: EDWARD ALLEN BALLI M.D.
Title: PRESIDENT
Phone: (830) 379-6823
Address
Address
1375 E Walnut St SUITE 400, Seguin, TX 78155
National Provider ID: 1376569996
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDWARD A. BALLI, M.D., PA

New Braunfels, TX  -  Seguin, TX

Status:
Inactive
Doing business as:
Edward A. Balli, M.D., PA
Registration:
Mar 29, 1996
Addresses:
1644 Sunfire Cir, New Braunfels, TX 78130 (Mailing)
1017 E Kingsbury St, Seguin, TX 78155
State ID:
0081699803
Business type:
Professional Association
President , Director , Member:
Edward A. Balli President , Director , Member, inactive
TIN:
17427805068

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