Individual
MARIA BANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 456-2533
(214) 456-8130
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 456-2533
(214) 456-8130
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10030553
TX
2080P0202X
Pediatric Cardiology Physician
Primary
P0340
TX
Other
Enumeration date
06/23/2011
Last updated
09/30/2015
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