Individual
MICHAEL D BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 408-5000
Mailing address
372 COUNTY ROAD 1100, COOPER, TX 75432-6804
(903) 450-6702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
923608
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1134895
TX
Other
Enumeration date
03/21/2023
Last updated
11/13/2023
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