Provider Demographics
NPI:1417689498
Name:BALLADARES, JOSHUA AARON (MPAS, PA-C)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:AARON
Last Name:BALLADARES
Suffix:
Gender:M
Credentials:MPAS, PA-C
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Mailing Address - Street 1:1474 W PRICE RD STE 7-447
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8687
Mailing Address - Country:US
Mailing Address - Phone:956-708-3188
Mailing Address - Fax:
Practice Address - Street 1:1201 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-2909
Practice Address - Country:US
Practice Address - Phone:956-665-7049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA18671363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant