| Bhuvana Balasekaran Md Pa | |
|
1301 W Wall St Ste C Midland TX 79701-6621 | |
| (432) 570-4500 | |
| (432) 522-2115 |
| Full Name | Bhuvana Balasekaran Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1301 W Wall St, Midland, Texas |
| Authorized Official Name and Position | Corena P Buendia (OFFICE MANAGER) |
| Authorized Official Contact | 4325704500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhuvana Balasekaran Md Pa 1301 W Wall St Ste C Midland TX 79701-6621 Ph: (432) 570-4500 | Bhuvana Balasekaran Md Pa 1301 W Wall St Ste C Midland TX 79701-6621 Ph: (432) 570-4500 |
| NPI Number | 1447598875 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 01/18/2013 |
| Medicare PECOS PAC ID | 7719125145 |
|---|---|
| Medicare Enrollment ID | O20130524000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447598875 | NPI | - | NPPES |
| 0041JJ | Other | TX | BLUE CROSS BLUE SHIELD |
| 153987601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L2794 (Texas) | Primary |
| Provider Name | Bhuvana Balasekaran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770564080 PECOS PAC ID: 4385707090 Enrollment ID: I20090107000050 |
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