Ballivian, Roberto Alejandro
Ballivian, Roberto Alejandro is an individual health care provider with primary practice located at 6606 Lbj Fwy Ste 200 , Dallas TX 75240-6524. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Ballivian, Roberto Alejandro can be contacted via phone (972) 715-5000.Contact Information
Primary practice address
6606 Lbj Fwy Ste 200
Dallas TX 75240-6524
Phone: (972) 715-5000
Fax: (972) 715-9976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | N6158 | Texas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | N6158 | Texas |
Profile Details
| NPI number | 1386958791 |
|---|---|
| LBN Legal business name | Ballivian, Roberto Alejandro |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2010 |
| Last updated | Jun 15th, 2021 - about 4 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 | 1386958791 | NPPES |
| Texas | MEDICAID | 348930401 | |
| Texas | Other | P01741026 | |
| Texas | Other | 8FJ673 |
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