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David W Ball MD Internal Medicine PLLC

Internal Medicine in Tyler, TX. Organization (NPI-2).

NPI number1083100788
StatusActive
Last updated in NPPESJul 5, 2018

Details

NPI
1083100788
Entity type
Organization (NPI-2)
Legal business name
David W Ball MD Internal Medicine PLLC
Organization subpart
No
Enumeration date
Jul 5, 2018
Last updated
Jul 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineK3980TXYes

Practice location

5407 New Copeland Rd Ste 200
Tyler, TX 75703-3951

Phone 903-330-2081 · Fax 903-630-9309

Mailing address

5407 New Copeland Rd Ste 200
Tyler, TX 75703-3951

Phone 903-330-2081 · Fax 903-630-9309

Authorized official

David W Ball
Owner
9033302081

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