Individual
MATTHEW BALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1805 CARI NICOLE AVE, EDINBURG, TX 78541-0548
(956) 467-3408
Mailing address
1921 PELICAN AVE, MCALLEN, TX 78504-3815
(956) 467-3408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
90219
TX
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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