Ceballos, Laura Lisa
Ceballos, Laura Lisa is an individual health care provider with primary practice located at 1076 E Los Ebanos Blvd , Brownsville TX 78520-9988. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ceballos, Laura Lisa can be contacted via phone (956) 544-2001.Contact Information
Primary practice address
1076 E Los Ebanos Blvd
Brownsville TX 78520-9988
Phone: (956) 544-2001
Fax: (956) 546-4567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | M8580 | Texas |
Profile Details
| NPI number | 1275724841 |
|---|---|
| LBN Legal business name | Ceballos, Laura Lisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2007 |
| Last updated | Jan 23rd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275724841 | NPPES |
| Texas | MEDICAID | 201438301 | |
| Texas | Other | 8CA111 | |
| Texas | Other | M8580 |
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