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Individual

DR. ALBERTO Q BANEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 STADIUM DR, SEYMOUR, TX 76380-2343
(940) 889-5583
(940) 889-8835
Mailing address
201 STADIUM DR, SEYMOUR, TX 76380-2343
(940) 889-5583
(940) 889-8835

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F7694
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127972101
TX
01
BA000H64L
BLUE CROSS
TX
Enumeration date
10/31/2005
Last updated
12/31/2019
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