MEDICARE: ASHLEY BALINSKI AA

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
1	367H00000X	Anesthesiologist Assistant

General Provider Information

NPI Number	:	1245765395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY BALINSKI AA

Provider Business Mailing Address
First Line	:	807 BAY AVE
Second Line	:	UNIT A
City	:	KEMAH
State	:	TX
Zip	:	77565-2972
Country	:	US
Telephone Number	:	810-305-0711
Fax Number	:

Provider Business Practice Location Address
First Line	:	807 BAY AVE
Second Line	:	UNIT A
City	:	KEMAH
State	:	TX
Zip	:	77565-2972
Country	:	US
Telephone Number	:	810-305-0711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2017
Last Update Date	:	04/26/2017

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Directions to “ ASHLEY BALINSKI AA” Practice Location

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