1851619449 NPI number — RHEA HEIDI BALCE BALITBIT MD

Table of content: RHEA HEIDI BALCE BALITBIT MD (NPI 1851619449)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851619449 NPI number — RHEA HEIDI BALCE BALITBIT MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BALITBIT
Provider First Name:
RHEA HEIDI
Provider Middle Name:
BALCE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BALITBIT-LOZADA
Provider Other First Name:
RHEA HEIDI
Provider Other Middle Name:
BALCE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1851619449
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7015 ALMEDA RD, STE 3
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77054
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
409-948-8521
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3723 FATTA RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DICKINSON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
346-800-1360
Provider Business Practice Location Address Fax Number:
346-800-1366
Provider Enumeration Date:
05/07/2010

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:  P7065 , 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)





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