Individual provider · Type 1 NPI
Rajaram Bala, MD
Plastic and Reconstructive Surgery Physician · San Antonio, TX
NPI number
1457459919
Active
Practice location
343 W Houston Street, Suite 1002
San Antonio, TX 78205-2268
Fax (210) 271-7755
Mailing address
343 W Houston St, Suite 1002
San Antonio, TX 78205-2268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | E4968 (TX) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1457459919
Rajaram Bala, MD's National Provider Identifier is 1457459919, issued on Sep 20, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in San Antonio, TX. The record was last updated on Jun 7, 2010.