Individual
DR. JOSE BANCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0065813
CO
207RC0000X
Cardiovascular Disease Physician
N1991
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202221201
—
TX
01
—
202221202
CSHCN MEDICAID
TX
05
—
271489200
—
FL
01
—
8U9725
BCBS
TX
Enumeration date
01/09/2006
Last updated
03/05/2021
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