Individual
DR. DENNIS DAVID O'BANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 GALLERIA OAKS DR, TEXARKANA, TX 75503-4616
(903) 614-4200
(903) 614-5399
Mailing address
2900 ST MICHAEL DR., STE 307, TEXARKANA, TX 75503
(903) 614-5356
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G6586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020022812
TRAVELERS MEDICARE
TX
01
—
100082820A
OKLA MEDICAID
OK
05
—
102179207
—
TX
05
—
110840001
—
AR
01
—
126280000
QUALCHOICE
AR
01
—
1557714
LOUISIANA MEDICAID
LA
01
—
770069401
BREASTCARE
TX
01
—
81808
ARK BLUE CROSS
AR
01
—
81G983
TX BLUE CROSS
TX
Enumeration date
04/26/2006
Last updated
02/05/2025
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