Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | G2636 | TX |
NPI | 1033126495 |
---|---|
Provider Name | Dr. Parendra P Banker |
First Address | Humble, TX 77338-4271 |
Second Address | Humble, TX 77338-4271 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B21081 | (02) | TX |