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NPI Code Detail

MEDICARE: BALASUBRAMANIAN MHT LLC

MEDICARE: BALASUBRAMANIAN MHT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianL8271TX

General Provider Information

NPI Number : 1184012320
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALASUBRAMANIAN MHT LLC
Provider Business Mailing Address
First Line : 1515 HERITAGE DR STE 110
Second Line :
City : MCKINNEY
State : TX
Zip : 75069-3379
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 205 HOLLOW TREE LN
Second Line :
City : HOUSTON
State : TX
Zip : 77090-2801
Country : US
Telephone Number : 832-239-7398
Fax Number :
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : ANAND BALASUBRAMANIAN
Credential : M.D.
Telephone Number : 832-239-7398
Provider Enumeration Date : 12/22/2014
Last Update Date : 01/06/2015

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Directions to “BALASUBRAMANIAN MHT LLC ” Practice Location

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