Individual
MR. WILLIAM CARROLL BALLARD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 LOG CABIN RD, ENNIS, TX 75119-8809
(214) 315-3421
Mailing address
306 LOG CABIN RD, ENNIS, TX 75119-8809
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
68404
TX
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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