Issac Ballesteros, 101Y00000X

NPI 1134896863 · on the registry since 2021

Practice

Address: 4200 S Hulen St Ste 436
Fort Worth, TX 76109
Phone: (817) 952-8180
Organisation at this address: Kellie Mclarty Lpc
Legend Hospice Inc.
Andrew D Beaty Md Pa
Brainbloom Counseling
Millard L Tierce Iv Do
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas