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Individual

ASHLEY ELIZABETH BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5236 W UNIVERSITY DR STE 1700, MCKINNEY, TX 75071-8109
(972) 562-5999
(972) 562-9755
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08143
TX
363AM0700X
Medical Physician Assistant
PA21555
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
358917801
TX
Enumeration date
04/11/2011
Last updated
12/12/2016
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