Individual
MRS. CHARLOTTE D BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ENP-BC
Contact information
Practice address
13300 OLD BLANCO RD # 340, SAN ANTONIO, TX 78216-7737
(210) 600-4105
Mailing address
13300 OLD BLANCO RD # 340, SAN ANTONIO, TX 78216-7737
(210) 600-4105
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP107832
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
09/30/2005
Last updated
03/12/2025
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