Individual
DR. CHARLES W BALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 W LOOP 281 STE 302, LONGVIEW, TX 75604-2941
(903) 470-8100
(903) 470-8101
Mailing address
1201 W LOOP 281 STE 302, LONGVIEW, TX 75604-2941
(903) 470-8100
(903) 470-8101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C-5265
AR
207Q00000X
Family Medicine Physician
Primary
T1294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04629898
—
MS
01
—
10027028
UAHC
TN
05
—
104981001
—
AR
01
—
2416091
CIGNA
TN
05
—
3825644
—
TN
01
—
39809
TLC
TN
01
—
4135427
BLUE CROSS BLUE SHIELD
TN
01
—
626001636
USA MANAGED CARE
TN
Enumeration date
06/12/2006
Last updated
10/03/2025
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