Ballesteros, Wellington F

Ballesteros, Wellington F is an individual health care provider with primary practice located at 2500 Delano Ave , Midland TX 79701-6357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ballesteros, Wellington F can be contacted via phone (432) 697-4747.

Contact Information

Primary practice address
2500 Delano Ave Midland TX 79701-6357
Fax: (432) 699-3813
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X H6770 Texas

Profile Details

NPI number 1083695746
LBN Legal business name Ballesteros, Wellington F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Nov 17th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083695746 NPPES
Texas MEDICAID 130229107

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