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Individual

DR. WILLIAM J. BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
J6072
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106297803
TX
05
143159501
TX
01
143159502
CSHCN1
TX
01
143159503
CSHCN2
TX
01
300121249
RRMCARE1
01
300127468
RRMCARE2
Enumeration date
06/08/2005
Last updated
01/12/2015
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