Ceballos, Maria G

Ceballos, Maria G is an individual health care provider with primary practice located at 4702 E University Blvd , Odessa TX 79762-8105. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ceballos, Maria G can be contacted via phone (432) 550-4245.

Contact Information

Primary practice address
4702 E University Blvd Odessa TX 79762-8105
Phone: (432) 550-4245
Fax: (432) 550-4370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 04956TG Texas

Profile Details

NPI number 1336217504
LBN Legal business name Ceballos, Maria G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Oct 25th, 2007 - about 17 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 1336217504 NPPES
Texas Other 81499Q BC/BS

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