David W Ball MD Internal Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K3980 Issued in TX

Legal business name

DAVID W BALL MD INTERNAL MEDICINE PLLC

Practice address

5407 New Copeland Rd Ste 200
Tyler, TX 75703-3951

Phone

(903) 330-2081

Fax

(903) 630-9309

NPI assigned

Jul 5, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David W Ball, MD

Title

Owner

Phone

(903) 330-2081

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1083100788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 NEW COPELAND RD STE 200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033951",
            "telephone_number": "903-330-2081",
            "fax_number": "903-630-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 NEW COPELAND RD STE 200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033951",
            "telephone_number": "903-330-2081",
            "fax_number": "903-630-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W BALL MD INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-330-2081",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Davault
• Laura Beth Davenport, FNP-C
• David a. Andreone DPM PLLC
• David a. Wilkinson DDS MSD, P.a.
• David K Fletcher MD PA
• Julie Kathryn David, LPC
• Peggy J Davidson, CRNP
• Randy Davidson, PHARM.D.
• Ashley Marie Davis, M.A. LPC
• Blaise Davis, FNP-C, FNP-BC

• Internal Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.