Organization
DRS BALLARD & BOURQUE OPTOMETRIST, P.C.
Active
Other names
First Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DENT BALLARD O.D. (OWNER)
(972) 960-2020
Entity
Organization
Contact information
Practice address
6446 LBJ FWY, DALLAS, TX 75240-6407
(972) 960-2020
(972) 960-2063
Mailing address
6446 LBJ FWY, DALLAS, TX 75240-6407
(972) 960-2020
(972) 960-2063
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3442T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E55W
BCBS
TX
Enumeration date
06/13/2006
Last updated
03/04/2013
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