Individual
DR. DAVID BLAIR BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1055 W PIONEER PKWY, GRAND PRAIRIE, TX 75051-4706
(972) 660-5141
(972) 660-4563
Mailing address
2406 PEBBLEBROOK CT, GRAND PRAIRIE, TX 75050-2719
(972) 660-5503
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2922
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601201
BLUE CROSS BLUE SHIELD #
—
Enumeration date
07/20/2006
Last updated
07/09/2007
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