Provider Demographics
NPI:1184804635
Name:BALL, MICHAEL H (CSFA)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:H
Last Name:BALL
Suffix:
Gender:M
Credentials:CSFA
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Mailing Address - Street 1:7970 FREDERICKSBURG RD
Mailing Address - Street 2:SUITE 101-607
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3890
Mailing Address - Country:US
Mailing Address - Phone:210-887-8508
Mailing Address - Fax:210-366-8033
Practice Address - Street 1:7970 FREDERICKSBURG RD
Practice Address - Street 2:SUITE 101-607
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3890
Practice Address - Country:US
Practice Address - Phone:210-366-8032
Practice Address - Fax:210-366-8033
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2017-04-27
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Provider Licenses
StateLicense IDTaxonomies
TXCERT120779246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist