Individual
KESHONTA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6220 WESTPARK DR STE 149, HOUSTON, TX 77057-7371
(757) 304-7473
Mailing address
14420 WALTERS RD UNIT 38, HOUSTON, TX 77014-1347
(757) 304-7473
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001287721
VA
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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