Provider Demographics
NPI:1902987746
Name:BALMACEDA, GAYLE A (RN, ANP, GNP)
Entity type:Individual
Prefix:
First Name:GAYLE
Middle Name:A
Last Name:BALMACEDA
Suffix:
Gender:F
Credentials:RN, ANP, GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 BUSINESS CENTER DR STE 202
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-2741
Mailing Address - Country:US
Mailing Address - Phone:713-800-0660
Mailing Address - Fax:713-827-1380
Practice Address - Street 1:7789 SOUTHWEST FWY STE 460
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1841
Practice Address - Country:US
Practice Address - Phone:713-778-0300
Practice Address - Fax:713-778-0303
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX587925363LG0600X, 363L00000X
TXAP110310363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8N2951OtherBCBS
TX154337301Medicaid
TX500027959OtherRR MEDICARE
TX8N2951OtherBCBS
TX8L7096Medicare PIN