Provider Demographics
NPI:1164450490
Name:BALIN, SCOTT ADAM (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ADAM
Last Name:BALIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 FM 1463 RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5478
Mailing Address - Country:US
Mailing Address - Phone:281-395-2225
Mailing Address - Fax:281-395-2211
Practice Address - Street 1:1432 FM 1463 RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5478
Practice Address - Country:US
Practice Address - Phone:281-395-2225
Practice Address - Fax:281-395-2211
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX609222OtherBCBS
TXU74148Medicare UPIN
TX609222OtherBCBS