Provider Demographics
NPI:1134735814
Name:HOUSTON PLASTIC SURGERY ASSOCIATES PLLC
Entity type:Organization
Organization Name:HOUSTON PLASTIC SURGERY ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BALINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-546-8496
Mailing Address - Street 1:204 W 19TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-4077
Mailing Address - Country:US
Mailing Address - Phone:281-546-8496
Mailing Address - Fax:
Practice Address - Street 1:204 W 19TH ST STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-4077
Practice Address - Country:US
Practice Address - Phone:281-318-1122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty