Individual
MYESHA D BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
9301 N CENTRAL EXPY STE 410, DALLAS, TX 75231-0805
(972) 993-2290
Mailing address
10410 ROYAL CHAPEL DR, DALLAS, TX 75229-5040
(614) 832-0761
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
AP117170
TX
363LW0102X
Women's Health Nurse Practitioner
758414
TX
363LW0102X
Women's Health Nurse Practitioner
AP117170
TX
Other
Enumeration date
10/06/2008
Last updated
05/22/2022
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