Individual
MICHAEL BANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1599 LOMALAND DR, EL PASO, TX 79935-4201
(228) 806-6322
Mailing address
1599 LOMALAND DR, EL PASO, TX 79935-4201
(228) 806-6322
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
11686
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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