Glen C. Balch
Surgeon Surgical Oncologist
5323 Harry Hines Blvd University Of Texas Southwestern University
Dallas
, Texas 75390-8548
Glen C. Balch
Surgeon Surgical Oncologist
5323 Harry Hines Blvd University Of Texas Southwestern University
Dallas
, Texas 75390-8548
(214) 648-1118
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Glen C. Balch
- Po Box 845347
- Dallas, TX
- Zip : 75284-5347
- Fax : (214) 648-1118
- Phone : (214) 648-5870
Second Address
- Glen C. Balch
- 5323 Harry Hines Blvd University Of Texas Southwestern University
- Dallas, TX
- Zip : 75390-8548
- Fax : (214) 648-1118
- Phone : (214) 648-5870
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 036-118605 | IL |
| N | 208600000X | Surgeon | 036-118605 | IL |
| Y | 2086X0206X | Surgical Oncologist | N4276 | TX |
National Provider Identifier
| NPI | 1114123163 |
|---|---|
| Provider Name | Glen C. Balch |
| First Address | Dallas, TX 75284-5347 |
| Second Address | Dallas, TX 75390-8548 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2007 |
| Last Update Date | 07/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036-118605 | IL STATE LIC (01) | IL |
| N4276 | TX STATE MEDICAL LIC (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.