Ichabod Lafayette Balkcom IV M.D.

  • NPI 1922001817
According to our database, the NPI number for Ichabod Lafayette Balkcom IV M.D. is 1922001817 and activated since 18 years ago. Ichabod Lafayette Balkcom IV M.D. is an individual provider who specializes in Family Medicine, and the primary practice location is 10481 Hwy 31 E, Tyler, TX 75705. You can also contact Ichabod Lafayette Balkcom IV M.D. via telephone number is (903) 243-1110. Provider NPI information was last updated on 08/05/2021.

Recently Active NPIs

Overview of Ichabod Lafayette Balkcom IV M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/24/2005
  • Last updated: 08/05/2021

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: J4701
  • License State: TX

Provider Mailing Address

  • Address: 10481 Hwy 31 E
    Tyler, TX 75705
  • Phone: 903-243-1110
  • Fax:

Provider Practice Location

  • Address: 10481 Hwy 31 E
    Tyler, TX 75705
  • Phone: 903-243-1110
  • Fax:

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: J4701
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 139946124
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: TX
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ichabod Lafayette Balkcom IV M.D.?
  • A: The npi number for Ichabod Lafayette Balkcom IV M.D. is 1922001817.
  • Q: What are Ichabod Lafayette Balkcom IV M.D.'s specialties?
  • A: Ichabod Lafayette Balkcom IV M.D.'s specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Ichabod Lafayette Balkcom IV M.D.?
  • A: The medical license number for Ichabod Lafayette Balkcom IV M.D. is J4701 and issued in TX in USA.
  • Q: Where is Ichabod Lafayette Balkcom IV M.D. practice location?
  • A: Ichabod Lafayette Balkcom IV M.D. is practicing at 10481 Hwy 31 E, Tyler, TX 75705.
  • Q: How to contact Ichabod Lafayette Balkcom IV M.D.?
  • A: You can contact Ichabod Lafayette Balkcom IV M.D. via 903-243-1110.