Individual provider · Type 1 NPI

Rudolph Edward Balli, P.A.

Surgical Physician Assistant · San Antonio, TX

NPI number 1568567337 Active

Practice location

7400 Merton Minter St
San Antonio, TX 78229-4404

Call (210) 617-5104 Map

Fax (210) 617-5349

Mailing address

7400 Merton Minter Blvd
San Antonio, TX 78229-4404

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA03012 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1568567337

Rudolph Edward Balli, P.A.'s National Provider Identifier is 1568567337, issued on Sep 14, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Antonio, TX. The record was last updated on Jan 21, 2009.