| NPI | 1255705778 |
|---|---|
| Doing Business As | BALCONES FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CARLY JOHNSON Billing Manager 512-231-1901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |