Ballard, Evangeline Sosa
Ballard, Evangeline Sosa is an individual health care provider with primary practice located at 2450 Nw Loop 338 , Odessa TX 79763-3201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Ballard, Evangeline Sosa can be contacted via phone (432) 332-2695.Contact Information
Primary practice address
2450 Nw Loop 338
Odessa TX 79763-3201
Phone: (432) 332-2695
Fax: (432) 332-2665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 512262 | Texas |
Profile Details
| NPI number | 1245376417 |
|---|---|
| LBN Legal business name | Ballard, Evangeline Sosa |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 29th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245376417 | NPPES |
| Texas | MEDICAID | 207178901 |
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