Organization
STEVEN G. BANDER, D.O., P.A.
Active
Other names
Bander Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMY R BANDER (OFFICE MANAGER)
(972) 442-4888
Entity
Organization
Contact information
Practice address
791 S HIGHWAY 78, WYLIE, TX 75098
(972) 442-4888
(972) 442-4970
Mailing address
791 S HIGHWAY 78, WYLIE, TX 75098-4004
(972) 442-4888
(972) 442-4970
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
G3129
TX
302R00000X
Health Maintenance Organization
G3129
TX
305R00000X
Preferred Provider Organization
Primary
G3129
TX
305S00000X
Point of Service
G3129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114033703
—
TX
Enumeration date
08/08/2006
Last updated
11/01/2007
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