Provider Demographics
NPI:1902926694
Name:BALL, CYNTHIA K (DO)
Entity Type:Individual
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First Name:CYNTHIA
Middle Name:K
Last Name:BALL
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Gender:F
Credentials:DO
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Mailing Address - Street 1:8115 PRESTON RD
Mailing Address - Street 2:LB 41
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6330
Mailing Address - Country:US
Mailing Address - Phone:214-239-4615
Mailing Address - Fax:214-691-7955
Practice Address - Street 1:8115 PRESTON RD
Practice Address - Street 2:LB 41
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6330
Practice Address - Country:US
Practice Address - Phone:214-239-4615
Practice Address - Fax:214-691-7955
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2017-03-29
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Provider Licenses
StateLicense IDTaxonomies
TXL96152083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine