MEDICARE: LAQUINTA DIANE BANKS LMSW

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	104100000X	Social Worker	113846	TX

General Provider Information

NPI Number	:	1770432528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAQUINTA DIANE BANKS LMSW

Provider Business Mailing Address
First Line	:	16618 LOST QUAIL DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-5345
Country	:	US
Telephone Number	:	832-208-8806
Fax Number	:

Provider Business Practice Location Address
First Line	:	12422 EARLY HORIZON CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77048-2910
Country	:	US
Telephone Number	:	832-208-8806
Fax Number	:

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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