person
Richard Lee Ballentine, DMD
Student in an Organized Health Care Education/Training Program in San Antonio, Texas
NPI 1003072638

Richard Lee Ballentine is a Student in an Organized Health Care Education/Training Program based in San Antonio, TX. Richard Lee Ballentine practices in San Antonio, TX and has the professional credentials of DMD. The NPI Number for Richard Lee Ballentine is 1003072638 and holds a License No. (Texas).

The current practice location address for Richard Lee Ballentine is 4502 Medical Dr, San Antonio, TX and can be reached out via phone at 210-358-2015.

Location: 4502 Medical Dr, San Antonio, TX, 78229-3901
person
Provider Profile Details
NPI Number
1003072638
Provider Name
Richard Lee Ballentine
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4502 Medical Dr, San Antonio, TX, 78229-3901
Phone Number
210-358-2015
Fax Number
Provider Enumeration Date
08/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4502 Medical Dr
City
State
Zip
78229-4402
Phone Number
210-358-2015
Fax Number
person
Provider Business Mailing Address Details
Address
4502 Medical Dr
City
State
Zip
78229-4402
Phone Number
210-358-2015
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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