Provider Demographics
NPI:1538218185
Name:BALA', GEORGE II (DC)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:
Last Name:BALA'
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2944 S MASON RD STE F
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1764
Mailing Address - Country:US
Mailing Address - Phone:281-358-8585
Mailing Address - Fax:
Practice Address - Street 1:2944 S MASON RD STE F
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:281-358-8585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-009910111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2158789OtherFIRST HEALTH
IL08232036OtherBLUE CROSS BLUE SHIELD
IL168110OtherGHP
IL320063607OtherHEALTHLINK