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NPI Code Detail

MEDICARE: DR. NANCY BEAMAN BANKS M.D.

MEDICARE:  DR. NANCY BEAMAN BANKS  M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician01057706AIL
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianP2587TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710958384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY BEAMAN BANKS M.D.
Provider Business Mailing Address
First Line : 3445 EXECUTIVE CENTER DR
Second Line : SUITE 250
City : AUSTIN
State : TX
Zip : 78731-1678
Country : US
Telephone Number : 512-579-4000
Fax Number : 512-439-2814
Provider Business Practice Location Address
First Line : 3445 EXECUTIVE CENTER DR
Second Line : SUITE 250
City : AUSTIN
State : TX
Zip : 78731-1678
Country : US
Telephone Number : 512-579-4000
Fax Number : 512-439-2814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 08/04/2015

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Directions to “ DR. NANCY BEAMAN BANKS M.D.” Practice Location

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