Individual
CHARMAINE DSOUZA BANZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2109 W SPRING CREEK PKWY, PLANO, TX 75023-4189
(972) 618-3547
Mailing address
2109 W SPRING CREEK PKWY, PLANO, TX 75023-4189
(972) 618-3547
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP136709
TX
Other
Enumeration date
03/23/2018
Last updated
07/09/2018
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