Individual
DR. BRUCE RYAN BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
M-9620
ID
207VM0101X
Maternal & Fetal Medicine Physician
Primary
M-9620
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407610101
—
TX
Enumeration date
08/16/2006
Last updated
08/09/2023
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