LILLY BALSAMO GANT

AUSTIN, TX
NPI1518859065
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  1207033)
Enumeration Date2025-07-18
Last Update Date2025-07-18
Business Address
LILLY BALSAMO GANT CPNP-PC
2106 RABB GLEN ST
AUSTIN, TX 78704-3946
Phone number: 512-580-9204
Mailing Address
LILLY BALSAMO GANT CPNP-PC
7800 SONG SPARROW DR
AUSTIN, TX 78744-4711
Phone number: 214-236-5970
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