Provider Demographics
NPI:1225214208
Name:IN-OFFICE ANCILLARY SERVICES, LLC
Entity Type:Organization
Organization Name:IN-OFFICE ANCILLARY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BALAT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-703-9647
Mailing Address - Street 1:PO BOX 17552
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-7552
Mailing Address - Country:US
Mailing Address - Phone:832-275-2774
Mailing Address - Fax:
Practice Address - Street 1:9801 WESTHEIMER RD
Practice Address - Street 2:SUITE 302
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3950
Practice Address - Country:US
Practice Address - Phone:832-275-2774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-21
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty