Victor Ball

Individual provider Active NPI Case Manager/Care Coordinator · Anthony, NM

NPI 1346573045 · NPPES record last updated Apr 8, 2014

Key facts

NPI
1346573045
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
880 Anthony Dr.
Anthony, NM 88021
Phone
(575) 201-5136
Fax
(575) 201-5108
NPI assigned
Sep 12, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

880 Anthony Dr.
Anthony, NM 88021

Mailing address

1320 S. Solano
Las Cruces, NM 88001
Phone (575) 527-7900

Other identifiers

IdentifierTypeStateIssuer
18677037MedicaidNM

Other providers in Anthony, NM

All providers in Anthony, NM · Case Manager/Care Coordinator in New Mexico

Sources for this page

Verify at the official NPI Registry.