Individual
HEATHER E. BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2660 COMMON ST, SUITE 201, NEW BRAUNFELS, TX 78130-3584
(830) 620-4650
(830) 620-4657
Mailing address
7142 SAN PEDRO AVE, SUITE 120, SAN ANTONIO, TX 78216-6256
(210) 661-5622
(210) 395-4012
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M7027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204503101
—
TX
01
—
P00780708
MEDICARE RAILROAD
TX
Enumeration date
11/08/2007
Last updated
08/06/2015
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