Individual
MRS. JILL FOSTER BALLANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
875 S COLLEGIATE DR, PARIS, TX 75460-6305
(903) 785-8857
Mailing address
8150 N CENTRAL EXPY, SUITE M1001, DALLAS, TX 75206-1815
(214) 221-0022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
363AM0700X
Medical Physician Assistant
—
TX
Other
Enumeration date
02/11/2009
Last updated
08/04/2014
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