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Individual
DR. SCOTT BALLARD
Active
Individual
DR. SCOTT BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC DCTX6517
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TXDC6517
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5095119
AETNA
TX
01
—
605411
BCBS OF TX
TX
Enumeration date
07/28/2006
Last updated
07/08/2007
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