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Individual

DAVID W BALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5407 NEW COPELAND RD STE 200, TYLER, TX 75703
(903) 330-2081
Mailing address
5407 NEW COPELAND RD, TYLER, TX 75703-3951
(903) 330-2081

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3980
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
88733Y
BCBS
TX
Enumeration date
09/21/2006
Last updated
06/29/2018
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