Individual
DR. JENIFER DINIS BALLESTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6651 MAIN ST STE 1020, HOUSTON, TX 77030-2351
(832) 826-7450
(832) 825-9351
Mailing address
6651 MAIN ST STE 1020, HOUSTON, TX 77030-2351
(832) 826-7450
(832) 825-9351
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Q7860
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
Q7860
TX
Other
Enumeration date
08/21/2012
Last updated
02/03/2022
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