Individual
MICHAEL GRIDLEY BANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PO BOX 840853, DALLAS, TX 75284-0853
(214) 696-3540
(214) 696-1230
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K5796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000963D9
—
TX
Enumeration date
10/12/2005
Last updated
06/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us