Individual
DR. MARIA G CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4702 E UNIVERSITY BLVD, ODESSA, TX 79762-8105
(432) 550-4245
(432) 550-4370
Mailing address
4702 E UNIVERSITY BLVD, ODESSA, TX 79762-8105
(432) 550-4245
(432) 550-4370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04956TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019389802
—
TX
01
—
81499Q
BC/BS
TX
Enumeration date
12/04/2006
Last updated
10/25/2007
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