| Healthsource Of Katy | |
|
2944 S Mason Rd Ste F, Katy, TX 77450-1764 | |
| (281) 358-8585 | |
| (281) 358-1982 |
| Full Name | Healthsource Of Katy |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2944 S Mason Rd Ste F, Katy, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205202561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 11920 (Texas) | Primary |
| Provider Name | George C Bala |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538218185 PECOS PAC ID: 4688637283 Enrollment ID: I20151210000488 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Katy 2944 S Mason Rd Ste F, Katy, TX 77450-1764 Ph: (281) 358-8585 | Healthsource Of Katy 2944 S Mason Rd Ste F, Katy, TX 77450-1764 Ph: (281) 358-8585 |
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