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Organization
MONTY BANKS OD PA
Active
Organization
MONTY BANKS OD PA
Active
Other names
TEXAS STATE OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MONTY S BANKS O.D. (PRESIDENT)
(254) 968-4133
Entity
Organization
Contact information
Practice address
101 N DALE AVE, STEPHENVILLE, TX 76401-2832
(254) 968-4133
(254) 968-5631
Mailing address
101 N DALE AVE, STEPHENVILLE, TX 76401-2832
(254) 968-4133
(254) 968-5631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3115TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G000E50E0
—
TX
Enumeration date
05/01/2009
Last updated
05/01/2009
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