Provider Demographics
NPI:1609192459
Name:BALHORN, NHI (BSPHARM, RPH)
Entity Type:Individual
Prefix:
First Name:NHI
Middle Name:
Last Name:BALHORN
Suffix:
Gender:F
Credentials:BSPHARM, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LONE STAR PASS BUILDING 46
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78264-5831
Mailing Address - Country:US
Mailing Address - Phone:210-263-5775
Mailing Address - Fax:210-263-5776
Practice Address - Street 1:1 LONE STAR PASS BUILDING 46
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78264
Practice Address - Country:US
Practice Address - Phone:210-263-5775
Practice Address - Fax:210-263-5776
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist