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Organization

CHARLES J BALLAY II, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES JOSEPH BALLAY II M.D. (PRESIDENT)
(830) 896-8001
Entity
Organization

Contact information

Practice address
1331 BANDERA HWY, SUITE 1A, KERRVILLE, TX 78028-9515
(830) 896-8001
(830) 896-9700
Mailing address
218 QUINLAN ST, BOX 475, KERRVILLE, TX 78028-5314
(830) 896-8001
(830) 896-9700

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M6514
TX

Other

Enumeration date
06/07/2007
Last updated
04/23/2008
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