location
search-icon
person
Ichabod Lafayette Balkcom IV, MD
Family Medicine Physician in Tyler, Texas
NPI 1922001817

Ichabod Lafayette Balkcom IV is a Family Medicine Physician based in Tyler, TX. Ichabod Lafayette Balkcom IV practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Ichabod Lafayette Balkcom IV is 1922001817 and holds a License No. J4701 (Texas).

The current practice location address for Ichabod Lafayette Balkcom IV is 10481 Hwy 31 E, Tyler, TX and can be reached out via phone at 903-243-1110.

Location: 10481 Hwy 31 E, Tyler, TX, 75705-2389
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922001817
Provider Name
Ichabod Lafayette Balkcom IV
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10481 Hwy 31 E, Tyler, TX, 75705-2389
Phone Number
903-243-1110
Fax Number
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
139946124 05 TX
institution
Provider Business Practice Location Address Details
Address
10481 Hwy 31 E
City
Tyler
State
Texas
Zip
75705-2389
Phone Number
903-243-1110
Fax Number
person
Provider Business Mailing Address Details
Address
10481 Hwy 31 E
City
Tyler
State
Texas
Zip
75705-2389
Phone Number
903-243-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
J4701 (Texas)
Definition
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.