1922001817 Ichabod Lafayette Balkcom Iv, M.D.

Family Medicine Physician

Active

Basic Information

Full Name
Ichabod Lafayette Balkcom Iv, M.D.
Gender
Male
Enumeration Date
May 24, 2005
Last Update
August 5, 2021

Practice Location

Address
10481 HWY 31 E
TYLER, TX 757052389
Phone
(903) 243-1110

Mailing Address

Address
10481 HWY 31 E
TYLER, TX 757052389
Phone
(903) 243-1110

Specialties & Taxonomies

Specialty Code Classification License State Primary
Family Medicine Physician
 207Q00000X Family Medicine J4701 TX Primary

Other Identifiers

Identifier Type State Issuer
139946124 05 TX N/A

Frequently Asked Questions

What is Ichabod Lafayette Balkcom Iv, M.D.'s NPI number?
Ichabod Lafayette Balkcom Iv, M.D.'s NPI number is 1922001817.
Which doctor has NPI number 1922001817?
The doctor with NPI number 1922001817 is Ichabod Lafayette Balkcom Iv, M.D..
What is Ichabod Lafayette Balkcom Iv, M.D.'s practice address?
Ichabod Lafayette Balkcom Iv, M.D.'s practice address is 10481 HWY 31 E, TYLER, TX, 757052389.
Which doctor practices at 10481 HWY 31 E, TYLER, TX, 757052389?
Ichabod Lafayette Balkcom Iv, M.D. practices at 10481 HWY 31 E, TYLER, TX, 757052389.
What is Ichabod Lafayette Balkcom Iv, M.D.'s phone number?
Ichabod Lafayette Balkcom Iv, M.D.'s phone number is (903) 243-1110.
Who is (903) 243-1110?
(903) 243-1110 is the phone number for Ichabod Lafayette Balkcom Iv, M.D..
What is Ichabod Lafayette Balkcom Iv, M.D.'s specialty?
Ichabod Lafayette Balkcom Iv, M.D.'s specialty is Family Medicine Physician.
What type of doctor is Ichabod Lafayette Balkcom Iv, M.D.?
Ichabod Lafayette Balkcom Iv, M.D. is a Family Medicine Physician.
Is Ichabod Lafayette Balkcom Iv, M.D. a Family Medicine?
Yes, Ichabod Lafayette Balkcom Iv, M.D. is a Family Medicine.
Is Ichabod Lafayette Balkcom Iv, M.D. still practicing?
Yes, Ichabod Lafayette Balkcom Iv, M.D. is currently practicing.
Is Ichabod Lafayette Balkcom Iv, M.D. accepting new patients?
Ichabod Lafayette Balkcom Iv, M.D. may be accepting new patients. Please call their office at (903) 243-1110 to inquire about availability.
Is NPI 1922001817 still active?
Yes, NPI 1922001817 is currently active.
Where does Ichabod Lafayette Balkcom Iv, M.D. practice?
Ichabod Lafayette Balkcom Iv, M.D. practices in TYLER, TX.
Is Ichabod Lafayette Balkcom Iv, M.D. a male or female doctor?
Ichabod Lafayette Balkcom Iv, M.D. is a male doctor.