NPI 1114445798

Paul Allen Ballard, PACATC

Practitioner Physician Assistant Bossier City, LA

Practice location

Address: 5025 Shed Rd, Bossier City, LA 71111-5434
Phone: (318) 798-4623
Fax: (318) 795-4742
Mailing address: 1455 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6000

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 307181 (LA)

Other Physician Assistant providers in Louisiana →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

Registry record

NPI: 1114445798
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Sep 2017
Record last updated: 2 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.