Healthcare Provider Details

I. General information

NPI: 1679123871
Provider Name (Legal Business Name): BALRAJ KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2019
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8440 WALNUT HILL LN STE 700
DALLAS TX
75231
US

IV. Provider business mailing address

8440 WALNUT HILL LN STE 700
DALLAS TX
75231-3824
US

V. Phone/Fax

Practice location:
  • Phone: 214-361-3300
  • Fax: 214-361-3431
Mailing address:
  • Phone: 214-361-3300
  • Fax: 214-361-3431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP142706
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP142706
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: