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Ichabod Lafayette Balkcom IV

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NPI Number Detailed Information

Provider Information:

Name: Ichabod Lafayette Balkcom IV
Gender: M
Provider License Number If Given: J4701

NPI Information:

NPI: 1922001817
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/24/2005

Last Update Date: 8/5/2021

Provider Business Mailing Address:

Address: 10481 HWY 31 E
Tyler, TX 75705
Phone Number: 9032431110
Fax Number:

Provider Business Practice Location Address:

Address: 10481 HWY 31 E
Tyler, TX 75705
Phone Number: 9032431110
Fax Number:

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: TX

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About Ichabod Lafayette Balkcom IV

Ichabod Lafayette Balkcom IV( ICHABOD LAFAYETTE BALKCOM IV) is Family Family Medicine Physician in Tyler, TX. The NPI Number for Ichabod Lafayette Balkcom IV is 1922001817.
The current location address for Ichabod Lafayette Balkcom IV is 10481 HWY 31 E Tyler, TX 75705 and the contact number is 9032431110 and fax number is . The mailing address for Ichabod Lafayette Balkcom IV is 10481 HWY 31 E Tyler, TX 75705- 9032431110 (mailing address contact number - 9032431110).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Ichabod Lafayette Balkcom IV?


Answer: The NPI Number for Ichabod Lafayette Balkcom IV is 1922001817

Where is Ichabod Lafayette Balkcom IV located?


Answer: Ichabod Lafayette Balkcom IV is located at 10481 HWY 31 E Tyler, TX 75705.

What is the specialty for Ichabod Lafayette Balkcom IV?


Answer: The Specialty of Ichabod Lafayette Balkcom IV is Family Family Medicine Physician.

Are there any online reviews for Ichabod Lafayette Balkcom IV?


Answer: Not yet!

Are there any other health care providers in Tyler, TX?


Answer: Yes, there are given below...

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