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Contact Information

PAUL A BALLARD, PA-C, ATC
5025 SHED RD
BOSSIER CITY, LA71111-5434
 Phone: 318-798-4623
 Fax: 318-795-4742
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PAUL A BALLARD · (Male)

NPI Number 1114445798
Status Active
Credentials PA-C, ATC
Entity Individual
Enumeration date 09/05/2017
Last updated 02/02/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • LA License # 307181
  • LA Medicaid 2457578
  • Other 14219851 CAQH
Hospital affiliation(s)
  • CHRISTUS SCHUMPERT HEALTH SYSTEM - (Acute Care)
    1453 E BERT KOUNS INDUSTRIAL DRIVE
    SHREVEPORT, LA 71105
  • WILLIS KNIGHTON MEDICAL CENTER - (Acute Care)
    2600 GREENWOOD ROAD
    SHREVEPORT, LA 71103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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