Organization
INTEGRATED MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE BALLARD ENP-BC (OWNER)
(210) 600-4105
Entity
Organization
Contact information
Practice address
13300 OLD BLANCO RD STE 340, SAN ANTONIO, TX 78216-7737
(210) 600-4105
Mailing address
13300 OLD BLANCO RD STE 340, SAN ANTONIO, TX 78216-7737
(210) 600-4105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L1817
TX
363LF0000X
Family Nurse Practitioner
AP107832
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP107832
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP107832
TX
Other
Enumeration date
06/20/2018
Last updated
04/01/2024
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