Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rudolph Edward Balli, PA

Individual provider Surgical Physician Assistant · NPI 1568567337

Rudolph Edward Balli, PA is a Surgical Physician Assistant in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7400 Merton Minter St
San Antonio, TX 78229-4404
Phone: (210) 617-5104
Fax: (210) 617-5349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA03012 (TX)

Record details

NPI number1568567337
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJanuary 21, 2009

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