| Provider / Organization | NPI | Date Certified |
|---|---|---|
| THARA BALA | 1720248941 | 2024-11-10 |
Thara Bala is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720248941. Registration indicates Thara Bala is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Psychiatry & Neurology: Neurology with Special Qualifications in Child Neurology, ) (Specialist Network, ) (Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )
| Entity Type | Individual |
| Provider Name | Thara Bala M.D. |
| Practice Office Address | 18200 KATY FWY HOUSTON, TX US |
| Practice Office Telephone | 8322271000 |
| Mailing Address | 6621 FANNIN ST HOUSTON, TX 770302399 US |
| Code | Practice | License No State |
|---|---|---|
| 2084N0402X PRIMARY | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Neurology with Special Qualifications in Child Neurology Specialist Network Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology | P0472
TX |