Individual
DR. DENISE CANTU BANNISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
403 W CAMPBELL RD, STE. 410, RICHARDSON, TX 75080-3465
(972) 498-8670
(972) 498-8676
Mailing address
403 W CAMPBELL RD, STE. 410, RICHARDSON, TX 75080-3465
(972) 498-8670
(972) 498-8676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J8482
TX
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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