Provider Demographics
NPI:1902099617
Name:BALL, CARRIE JEANETTE (MD)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:JEANETTE
Last Name:BALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 FANNIN ST STE 4000
Mailing Address - Street 2:OBGYN MEDICAL CENTER ASSOCIATES PLLC
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2935
Mailing Address - Country:US
Mailing Address - Phone:713-512-7027
Mailing Address - Fax:713-512-7635
Practice Address - Street 1:7900 FANNIN ST STE 4000
Practice Address - Street 2:OBGYN MEDICAL CENTER ASSOCIATES PLLC
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2935
Practice Address - Country:US
Practice Address - Phone:713-512-7500
Practice Address - Fax:713-512-7635
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7025207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8V4321OtherBLUE CROSS AND BLUE SHIEL
TX8K0891Medicare PIN
TX8V4321OtherBLUE CROSS AND BLUE SHIEL
TX8K0892Medicare PIN