Individual
MRS. BIANCA BANEK WIERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2635 BEECHMONT DR, DALLAS, TX 75228-4224
(512) 917-2068
Mailing address
2635 BEECHMONT DR, DALLAS, TX 75228-4224
(512) 917-2068
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
879139
TX
367500000X
Certified Registered Nurse Anesthetist
1094734
TX
Other
Enumeration date
08/08/2022
Last updated
01/12/2026
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