Individual
BEVERLY ANN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W CAMPBELL RD, SUITE SU 1.606 MS-SU25, RICHARDSON, TX 75080-3021
(972) 883-2747
Mailing address
1325 CLEAR CREEK DR, WYLIE, TX 75098-6676
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2-27076
TX
Other
Enumeration date
04/02/2007
Last updated
11/24/2009
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