Individual
MRS. LINDA BRADLEY BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2525 BARRY ROSE ROAD, #401, PEARLAND, TX 77581
(281) 997-3581
Mailing address
270 EL DORADO BLVD, #908, WEBSTER, TX 77598
(281) 990-8720
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
72837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002641
MDCP
TX
Enumeration date
12/28/2006
Last updated
07/08/2007
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