Individual
ABIMBOLA MICHAEL BANJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
220 W GOODWIN ST, PLEASANTON, TX 78064-4115
(830) 569-2440
(830) 281-4300
Mailing address
PO BOX 146, PLEASANTON, TX 78064-0146
(830) 569-2440
(830) 281-4300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J9620
TX
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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