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NPI Code Detail

MEDICARE: ISAAC BANKS DC

MEDICARE:   ISAAC  BANKS  DC
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
1111N00000XChiropractor14241TX

General Provider Information

NPI Number : 1588207724
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAAC BANKS DC
Provider Business Mailing Address
First Line : 808 GLADSTELL RD APT 610
Second Line :
City : CONROE
State : TX
Zip : 77304-2782
Country : US
Telephone Number : 419-631-2283
Fax Number :
Provider Business Practice Location Address
First Line : 26406 OAK RIDGE DR STE 101
Second Line :
City : SPRING
State : TX
Zip : 77380-1965
Country : US
Telephone Number : 832-813-8783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2019
Last Update Date : 10/21/2019

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Directions to “ ISAAC BANKS DC” Practice Location

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