Provider Demographics
NPI:1184610792
Name:SINGH, BALBIR (MD)
Entity type:Individual
Prefix:DR
First Name:BALBIR
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:BALBIR
Other - Middle Name:
Other - Last Name:SINGH,MD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:212 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:TX
Mailing Address - Zip Code:75570-2915
Mailing Address - Country:US
Mailing Address - Phone:903-628-5564
Mailing Address - Fax:903-628-5564
Practice Address - Street 1:212 N CENTER ST
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:TX
Practice Address - Zip Code:75570-2915
Practice Address - Country:US
Practice Address - Phone:903-628-5564
Practice Address - Fax:903-628-5564
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3609207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1184910792OtherTEXARKANA COMMINUTY CARE
SC751446883OtherTRICARE
AR88394OtherBC/BS ARKANSAS
TX1184610792OtherBLUECROSS/BLUESHIELD
KY1184610792OtherMAILHANDLERS
MO1184610792OtherGEHA
TX111477901Medicaid
KY1184610792OtherMAILHANDLERS
TX111477901Medicaid