Individual
CHRISTIAN BANAWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-8736
(254) 724-2585
Mailing address
2401 SOUTH 31ST STREET TEMPLE TX 76508,, TEMPLE, TX 76508-0001
(254) 724-2585
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
U5639
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
U5639
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2021
Last updated
06/24/2024
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