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Individual
DR. THOMAS DENT BALLARD
Active
Individual
DR. THOMAS DENT BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03442TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83037E
BCBS
TX
Enumeration date
06/07/2006
Last updated
12/03/2007
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