Provider Demographics
NPI:1477906501
Name:BALANCE DIABETES AND ENDOCRINOLOGY PLLC
Entity Type:Organization
Organization Name:BALANCE DIABETES AND ENDOCRINOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SINDURA
Authorized Official - Middle Name:KATTA
Authorized Official - Last Name:ALLOJU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-633-2679
Mailing Address - Street 1:6533 PRESTON RD
Mailing Address - Street 2:#100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2697
Mailing Address - Country:US
Mailing Address - Phone:918-633-2679
Mailing Address - Fax:
Practice Address - Street 1:6533 PRESTON RD
Practice Address - Street 2:#100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2697
Practice Address - Country:US
Practice Address - Phone:918-633-2679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-13
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3738261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty