MEDICARE: BARBARA JEAN BANNER MD

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	2084P0800X	Psychiatry Physician	W0519	TX

General Provider Information

NPI Number	:	1164041026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA JEAN BANNER MD

Provider Business Mailing Address
First Line	:	5598 NORTH FWY # A-1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-4702
Country	:	US
Telephone Number	:	832-548-5000
Fax Number	:	713-559-3255

Provider Business Practice Location Address
First Line	:	5598 NORTH FWY # A-1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-4702
Country	:	US
Telephone Number	:	832-548-5000
Fax Number	:	713-559-3255

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

Provider Enumeration Date	:	04/10/2020
Last Update Date	:	03/13/2026

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