Ceballos, Laura Lisa

Ceballos, Laura Lisa is an individual health care provider with primary practice located at 1076 E Los Ebanos Blvd , Brownsville TX 78520-9988. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ceballos, Laura Lisa can be contacted via phone (956) 544-2001.

Contact Information

Primary practice address
1076 E Los Ebanos Blvd Brownsville TX 78520-9988
Phone: (956) 544-2001
Fax: (956) 546-4567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M8580 Texas

Profile Details

NPI number 1275724841
LBN Legal business name Ceballos, Laura Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2007
Last updated Jan 23rd, 2019 - about 5 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 1275724841 NPPES
Texas MEDICAID 201438301
Texas Other 8CA111
Texas Other M8580

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