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1588740518
PHILLIP B BALLEZA
TERRELL, TX
NPI
1588740518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX H6023)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
Dr. PHILLIP B BALLEZA M.D.
1200 EAST BRIN STREET
TERRELL, TX 75160-2938
Phone number: 972-524-6452
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Mailing Address
Dr. PHILLIP B BALLEZA M.D.
PO BOX 192709
DALLAS, TX 75219-8526
Phone number: 214-673-2674
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