# MR. PAUL ALLEN BALLARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114445798
- **Gender:** Man
- **Credential:** PA-C, ATC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 307181 | LA | Yes |
| 363AS0400X | Surgical Physician Assistant | — | LA | — |

## Other

- **Enumeration date:** 09/05/2017
- **Last updated:** 02/02/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 14219851 | CAQH | — |
| 05 | — | 2457578 | — | LA |