DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GRACE A BALLARD

MEDICARE: GRACE A BALLARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-24-364818TX

General Provider Information

NPI Number : 1770394322
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE A BALLARD
Provider Business Mailing Address
First Line : 4208 RETAMA CIR
Second Line :
City : VICTORIA
State : TX
Zip : 77901-2765
Country : US
Telephone Number : 979-314-7229
Fax Number :
Provider Business Practice Location Address
First Line : 4208 RETAMA CIR
Second Line :
City : VICTORIA
State : TX
Zip : 77901-2765
Country : US
Telephone Number : 979-314-7229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2025
Last Update Date : 01/19/2026

Similar Medicare Providers

1265475008 — MRS. KELLY A ROBERSON PT
Practice Location Address:
4206 RETAMA CIR
VICTORIA, TX
77901-2765
Practice Phone: 361-582-0611
Practice Fax: 361-582-0555
1336184159 — MISS KACI L PATE SLP
Practice Location Address:
4206 RETAMA CIR
VICTORIA, TX
77901-2765
Practice Phone: 361-582-0611
Practice Fax: 361-582-0555
1184669038 — MS. DEBRA M DWORACZYK PTA
Practice Location Address:
4206 RETAMA CIR
VICTORIA, TX
77901-2765
Practice Phone: 361-582-0611
Practice Fax: 361-582-0555
1831134774 — MRS. ANGIE M BOLOM OTR
Practice Location Address:
4206 RETAMA CIR
VICTORIA, TX
77901-2765
Practice Phone: 361-582-0611
Practice Fax: 361-582-0555
1922034990 — MR. SEAN H BOWERS PTA
Practice Location Address:
4206 RETAMA CIR
VICTORIA, TX
77901-2765
Practice Phone: 361-582-0611
Practice Fax: 361-582-0555
1548296411 — MS. MANDY M MERCER PTA
Practice Location Address:
4206 RETAMA CIR
VICTORIA, TX
77901-2765
Practice Phone: 361-582-0611
Practice Fax: 361-582-0555

Directions to “ GRACE A BALLARD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.