PAUL ALLEN BALLARD

SHREVEPORT, LA
NPI1114445798
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  307181)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
Enumeration Date2017-09-05
Last Update Date2023-05-10
Business Address
Mr. PAUL ALLEN BALLARD PA-C, ATC
1455 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105-6000
Phone number: 318-798-4623
Mailing Address
Mr. PAUL ALLEN BALLARD PA-C, ATC
1455 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105-6000
Phone number: 318-798-4623