Provider Demographics
NPI:1821604752
Name:SOUTH TEXAS MEDICAL ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:SOUTH TEXAS MEDICAL ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BINDU
Authorized Official - Middle Name:BALACHANDRAN
Authorized Official - Last Name:NAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-621-1111
Mailing Address - Street 1:451 E ALTON GLOOR BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-3393
Mailing Address - Country:US
Mailing Address - Phone:956-621-1111
Mailing Address - Fax:956-621-1130
Practice Address - Street 1:451 E ALTON GLOOR BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3393
Practice Address - Country:US
Practice Address - Phone:956-621-1111
Practice Address - Fax:956-621-1130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty