Provider Demographics
NPI:1609874239
Name:SINGH, BALBIR (MD)
Entity Type:Individual
Prefix:
First Name:BALBIR
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 SCHOOL ST
Mailing Address - Street 2:SUITE 20
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4593
Mailing Address - Country:US
Mailing Address - Phone:281-357-5678
Mailing Address - Fax:281-357-8765
Practice Address - Street 1:455 SCHOOL ST
Practice Address - Street 2:SUITE 20
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4593
Practice Address - Country:US
Practice Address - Phone:281-357-5678
Practice Address - Fax:281-357-8765
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ13972084N0402X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J3522OtherBLUE CROSS & BLUE SHIELD
TX121268005Medicaid
TX5428564OtherAETNA
TXJ1397OtherMEDICAL LICENSE
TXJ1397OtherMEDICAL LICENSE
TX8J3522OtherBLUE CROSS & BLUE SHIELD