Organization
CCN MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE D BALLARD NP (PRESIDENT)
(210) 600-4105
Entity
Organization
Contact information
Practice address
1901 BABCOCK RD, SUITE 102, SAN ANTONIO, TX 78229-4554
(210) 608-6213
(210) 519-2939
Mailing address
PO BOX 320, BULVERDE, TX 78163-0320
(210) 608-6213
(210) 519-2939
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/11/2013
Last updated
09/11/2025
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