Individual
MRS. CRYSTAL LEIGH BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219B E RAILROAD ROW, GIDDINGS, TX 78942-2639
(979) 542-0710
Mailing address
219 B EAST RAILRAOD, GIDDINGS, TX 78942
(979) 542-0710
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N9506
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201152555
—
TX
Enumeration date
07/21/2011
Last updated
03/26/2015
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