David W Ball Md Internal Medicine Pllc | |
5407 New Copeland Rd Ste 200 Tyler TX 75703-3951 | |
(903) 330-2081 | |
(903) 630-9309 |
Full Name | David W Ball Md Internal Medicine Pllc |
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Speciality | Internal Medicine |
Location | 5407 New Copeland Rd Ste 200, Tyler, Texas |
Authorized Official Name and Position | David W Ball (OWNER) |
Authorized Official Contact | 9033302081 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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David W Ball Md Internal Medicine Pllc 5407 New Copeland Rd Ste 200 Tyler TX 75703-3951 Ph: (903) 330-2081 | David W Ball Md Internal Medicine Pllc 5407 New Copeland Rd Ste 200 Tyler TX 75703-3951 Ph: (903) 330-2081 |
NPI Number | 1083100788 |
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Provider Enumeration Date | 07/05/2018 |
Last Update Date | 07/05/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083100788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | K3980 (Texas) | Primary |
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