MEDICARE: GINA BALLAS RPH

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
1	183500000X	Pharmacist	21283	MA
2	183500000X	Pharmacist	03406	RI

General Provider Information

NPI Number	:	1598130072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA BALLAS RPH

Provider Business Mailing Address
First Line	:	11335 SSG SIMS STREET, EAST BLISS
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79920-5001
Country	:	US
Telephone Number	:	915-742-1012
Fax Number	:

Provider Business Practice Location Address
First Line	:	11335 SSG SIMS STREET
Second Line	:
City	:	EAST FORT BLISS
State	:	TX
Zip	:	79920-5001
Country	:	US
Telephone Number	:	915-742-1012
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2015
Last Update Date	:	12/09/2015

Similar Medicare Providers

1326497116 — JENNIFER HART RDH
Practice Location Address:

5005 N PIEDRAS , US ARMY DENTAL ACTIVITY FORT BLISS
EL PASO, TX
79920-5001

Practice Phone: 915-742-9316
Practice Fax:

1134579907 — ALANA BARTON
Practice Location Address:

BLDG 21227 TORCH ST. , 5005 N. PIEDRAS ST.
FORT BLISS, TX
79920-5001

Practice Phone: 915-742-9320
Practice Fax:

1407836331 — DR. EDWARD BRIAN FOWLER DDS, MS
Practice Location Address:

5005 N PIEDRAS ST , U.S. ARMY DENTAL ACTIVITY- FT BLISS
EL PASO, TX
79920-5001

Practice Phone: 915-742-6001
Practice Fax: 915-568-5174

1447400908 — DR. LLENA C. CALDWELL
Practice Location Address:

5005 N. PIEDRAS STREET USA DENTAC - FT BLISS , BLDG. 128, USA DENTAC - FT BLISS ATTN: PAMELA LOPEZ
EL PASO, TX
79920-5001

Practice Phone: 915-568-5935
Practice Fax: 915-568-5174

1841811718 — DEREK TYLER CLAR DO
Practice Location Address:

18511 HIGHLANDER MEDICS STREET , DOM, EAST CLINIC 4TH FL
FORT BLISS, TX
79906-5327

Practice Phone: 915-742-0460
Practice Fax:

1003433640 — DR. DENISE MARIE CACHO DMD
Practice Location Address:

EAST BLISS DENTAL CLINIC , 21227 TORCH ST
FORT BLISS, TX
79918

Practice Phone: 915-742-9297
Practice Fax:

Directions to “ GINA BALLAS RPH” 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.