Provider Demographics
NPI:1578223988
Name:BALANDRAN, GEORGE ABRAM JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:ABRAM
Last Name:BALANDRAN
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13711 WALLISVILLE RD.
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77049
Mailing Address - Country:US
Mailing Address - Phone:832-770-9383
Mailing Address - Fax:832-770-9387
Practice Address - Street 1:13711 WALLISVILLE RD.
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77049
Practice Address - Country:US
Practice Address - Phone:832-770-9383
Practice Address - Fax:832-770-9387
Is Sole Proprietor?:No
Enumeration Date:2021-12-27
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist