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Individual
DR. MARIA D BALLESTEROS
Active
Individual
DR. MARIA D BALLESTEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J3975
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1118143-05
CSHCN MEDICAID
TX
05
—
111814301
—
TX
01
—
111814305
CIDC
TX
01
—
309336
PRIVATE HEALTHCARE SYST
TX
01
—
5216043
AETNA
TX
01
—
5392692001
CIGNA
TX
01
—
742806531D
HUMANA
TX
01
—
87043B
BCBS OF TEXAS
TX
01
—
885850
FIRST HEALTH
TX
Enumeration date
06/20/2005
Last updated
06/12/2018
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