MEDICARE: SCOTT A BALIN DC, PA

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	111N00000X	Chiropractor	7828	TX

General Provider Information

NPI Number	:	1750755013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT A BALIN DC, PA

Provider Business Mailing Address
First Line	:	1432 FM 1463 RD
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-5478
Country	:	US
Telephone Number	:	281-395-2225
Fax Number	:	281-395-2211

Provider Business Practice Location Address
First Line	:	1432 FM 1463 RD
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-5478
Country	:	US
Telephone Number	:	281-395-2225
Fax Number	:	281-395-2211

Authorized Official
Title or Position	:	CEO
Name	:	DR. SCOTT A. BALIN
Credential	:	DC, PA
Telephone Number	:	281-395-2225

Provider Enumeration Date	:	11/23/2015
Last Update Date	:	11/23/2015

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Directions to “SCOTT A BALIN DC, PA ” Practice Location

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