EVANGELINE SOSA BALLARD


Address: 2450 Nw Loop 338, Odessa, TX 79763-3201
Phone: 4323322695

EVANGELINE SOSA BALLARD (NPI# 1245376417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245376417
Entity Type Individual
Full Name EVANGELINE SOSA BALLARD
Credential FNP-C
Practice Address 2450 Nw Loop 338
Odessa
TX 79763-3201
Mailing Address Po Box 2129
Odessa
TX 79760-2129
Practice Telephone 4323322695
Practice Fax Number 4323322665
Mailing Telephone 4326402408
Mailing Fax Number 4326404606
Enumeration Date 2007-01-29
Last Update Date 2014-07-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
512262 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 207178901 05

Office Location

Street Address 2450 NW LOOP 338
City ODESSA
State TX
Zip Code 79763-3201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588747083 Wal-mart Stores Texas, Lp Technician/Technologist 2450 Nw Loop 338, Odessa, TX 79763-3201 2006-10-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578164885 Mary Ewusie Pharmacist 2450 West Loop 3378, Odessa, TX 79763 2020-11-03
1982231569 Yashica Patel Student in an Organized Health Care Education/Training Program 701 W. 5th St, Suite 1229, Odessa, TX 79763 2020-03-24
1144740457 Devi Priya Suravajjala Student in an Organized Health Care Education/Training Program 701,w 5th Street, Odessa, TX 79763 2017-06-27
1649640392 Elesea Celeste Villegas Physician Assistant 701 West 5th Street, Odessa, TX 79763 2015-10-06
1790046472 Kathryn Nichole Hutton Obstetrics & Gynecology 701 W 5th Street, Odessa, TX 79763 2012-05-30
1962761791 Marvin Ryan Harvey Family Medicine 701 W 5th St Ste 3174, Odessa, TX 79763 2012-05-14
1245529544 Yvette Garcia Counselor 1012 W Macarthur, Odessa, TX 79763 2011-04-07
1386973873 Patty Denise Pena Pharmacist 1305 W County Rd, Odessa, TX 79763 2009-12-14
1508002262 Javier E Espinoza Physician Assistant 1220 W. University, Odessa, TX 79763 2008-12-31
1952584690 J A Mayans Md Pa Ophthalmology 907 W Second St, Odessa, TX 79763 2007-12-17
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1033639398 Saldivar Wellness Center LLC Nurse Practitioner 511 W 8th St Ste 201, Odessa, TX 79761-4406 2017-06-27

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1952908188 Sari Alhaik Nurse Practitioner 411 Park Grove Dr Ste 620, Katy, TX 77450-1576 2020-10-01
1669089421 Heather Ann Votion Nurse Practitioner 4501 S General Bruce Dr Ste 75, Temple, TX 76502-1466 2020-09-25
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Competitor

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City ODESSA
Zip Code 79763

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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