| Phillip Eugene Balfanz, MD | |
|
123 Commerce St Ste A, Kerrville, TX 78028-4951 | |
| (830) 538-0127 | |
| (830) 521-4061 |
| Full Name | Phillip Eugene Balfanz |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 123 Commerce St Ste A, Kerrville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194924399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | N1257 (Texas) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | N1257 (Texas) | Primary |
| Entity Name | Lubbock Regional Mhmr Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992708705 PECOS PAC ID: 6800782376 Enrollment ID: O20040223001289 |
| Entity Name | Texas Tech University Health Sciences Center Lubbock |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Eugene Balfanz, MD 123 Commerce St Ste A, Kerrville, TX 78028-4951 Ph: (830) 538-0127 | Phillip Eugene Balfanz, MD 123 Commerce St Ste A, Kerrville, TX 78028-4951 Ph: (830) 538-0127 |
Dr. Jennifer S. Johnson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 819 Water St Ste 300, Kerrville, TX 78028 Phone: 830-258-5430 Fax: 830-792-5771 | |
Ellis John Civello, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 721 Thompson Drive, Kerrville, TX 78028 Phone: 830-896-2211 | |
Dr. Randall Byard King, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 222 Sidney Baker St S, Suite 500, Kerrville, TX 78028 Phone: 830-895-7675 Fax: 830-896-3082 | |
Donna Marie Shaw, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3600 Memorial Blvd, Kerrville, TX 78028 Phone: 830-792-2451 Fax: 830-792-2423 | |
Lyndsey Michelle Dominguez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3600 Memorial Blvd, Kerrville, TX 78028 Phone: 866-487-1653 | |
Geraldine Farias-daniels, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 721 Thompson Drive, Kerrville, TX 78028 Phone: 830-896-2211 | |
Janet E True, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 721 Thompson Drive, Kerrville, TX 78028 Phone: 830-896-2211 |