Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | M1488 | TX |
Y | 2080P0205X | Pediatric Endocrinologist | M1488 | TX |
NPI | 1437371432 |
---|---|
Provider Name | Andrea Erika Balazs |
First Address | Houston, TX 77046-0297 |
Second Address | Houston, TX 77030-1608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 05/05/2011 |