Provider Demographics
NPI:1518400902
Name:BALLS, AMURI (CPM)
Entity Type:Individual
Prefix:
First Name:AMURI
Middle Name:
Last Name:BALLS
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 N LOOP 1604 E, STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:866-399-0991
Practice Address - Street 1:654 S 100 W
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-3212
Practice Address - Country:US
Practice Address - Phone:435-225-0228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-02
Last Update Date:2017-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife