Organization
DENISE CANTU BANNISTER, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE CANTU BANNISTER M.D. (PRESIDENT)
(972) 498-8670
Entity
Organization
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
01/14/2011
Last updated
01/14/2011
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