Jacqualine Rae Balch in Lubbock - Family

Jacqualine Rae Balch - NPI 1134200991

Jacqualine Rae Balch is a Family in Lubbock, Texas. Jacqualine Rae Balch practices all healthcare services and medical treatments related to Family. The NPI Number for Jacqualine Rae Balch is 1134200991. The last update date is 2011-01-03.

Jacqualine Rae Balch's current location address is 6104 Avenue Q South Dr, Lubbock, Texas. You can contact this provider via phone number 8064723430 and fax number 8064723432. The mailing address for Jacqualine Rae Balch is 6104 Avenue Q South Dr, Lubbock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqualine Rae Balch
Address 6104 Avenue Q South Dr, Lubbock, Texas
Phone Number 8064723430
Fax Number 8064723432
Sole Proprietor Y
Credentials RN, APRN

NPI Number Detail

NPI Number 1134200991
Provider Enumeration Date 2006-10-18
Last Updated Date 2011-01-03

Provider Mailing Address Detail

Address 6104 Avenue Q South Dr
City Lubbock
State Texas (TX)
Post Code 794123700
Phone Number 8064723430
Fax Number 8064723432

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 446047
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Jacqualine Rae Balch

What is the Jacqualine Rae Balch's 1134200991?

The Jacqualine Rae Balch's NPI (National Provider Identifier) Number is 1134200991. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jacqualine Rae Balch is physically located?

The Jacqualine Rae Balch is situated at the following address: 6104 Avenue Q South Dr, Lubbock, TX 794123700.

What is the area of specialization for Jacqualine Rae Balch, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jacqualine Rae Balch is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1134200991 to Jacqualine Rae Balch?

The Centers for Medicare & Medicaid Services assigned the 1134200991 to Jacqualine Rae Balch on 2006-10-18.

When was the information pertaining to Jacqualine Rae Balch most recently updated or revised?

The details related to Jacqualine Rae Balch, including its address, specialty, and other relevant information, were last updated or revised on 2011-01-03.

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