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General NPI Number Information
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NPI Number | 1235898701
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Entity Type | Organization
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Legal Business Name | BAY AREA PSYCHIATRY SERVICES PC
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 6000 S STAPLES ST STE 406
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City | CORPUS CHRISTI
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State | TX
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Zip | 78413-2952
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Country | US
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Telephone | 361-444-5255
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 61160
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City | CORPUS CHRISTI
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State | TX
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Zip | 78466-1160
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Country | US
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Telephone | 361-884-2904
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Fax | 361-884-2919
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MANJUNATH BALARAM
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Credential | MD
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Telephone | 361-444-5255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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