1184610792 NPI number — DR. BALBIR SINGH MD

Table of content: DR. BALBIR SINGH MD (NPI 1184610792)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184610792 NPI number — DR. BALBIR SINGH MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SINGH
Provider First Name:
BALBIR
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SINGH,MD
Provider Other First Name:
BALBIR
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1184610792
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/02/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
212 N CENTER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW BOSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75570-2915
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-628-5564
Provider Business Mailing Address Fax Number:
903-628-5564

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
212 N CENTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW BOSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75570-2915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-628-5564
Provider Business Practice Location Address Fax Number:
903-628-5564
Provider Enumeration Date:
09/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  E3609 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1184910792 . This is a "TEXARKANA COMMINUTY CARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 751446883 . This is a "TRICARE" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 88394 . This is a "BC/BS ARKANSAS" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 1184610792 . This is a "BLUECROSS/BLUESHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1184610792 . This is a "MAILHANDLERS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 1184610792 . This is a "GEHA" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 111477901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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