Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | P9154 | TX |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | MT187010 | PA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | P9154 | TX |
NPI | 1053524827 |
---|---|
Provider Name | Javier Banchs |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 03/12/2021 |