W Ballesteros LTD LLP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H6770 Issued in TX

Legal business name

W BALLESTEROS LTD LLP

Practice address

5304 Castle Pine Rd
Midland, TX 79707-3204

Phone

(432) 697-1562

Fax

(432) 688-7735

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Wellington F Ballesteros, MD

Title

Owner

Phone

(432) 413-9658

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1427239078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9849",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797089849",
            "telephone_number": "432-697-1562",
            "fax_number": "432-688-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 CASTLE PINE RD",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073204",
            "telephone_number": "432-697-1562",
            "fax_number": "432-688-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W BALLESTEROS LTD LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "BALLESTEROS",
        "authorized_official_first_name": "WELLINGTON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-413-9658",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H6770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130229108",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171584901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0063RV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jaynes Vitulli, FNP-BC
• Belinda Ybarra Vizcaino
• Mateo Vuelvas, PTA
• Ramu Vuppala, DDS
• Vyvo Therapeutics
• Rios Waddleton
• April Wade, FNP-C
• Ben Wade, PTA
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0608)
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-3645)

• Pediatrics Physician in Midland, TX
• Providers in Midland, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.