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Contact Information

MICHAEL G BANNON, MD
PO BOX 840853
DALLAS, TX75284-0853
 Phone: 214-696-3540
 Fax: 214-696-1230
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL G BANNON · (Male)

NPI # 1619965696
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2005
Last updated 06/23/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # K5796
  • TX Medicaid P000963D9
Hospital affiliation(s)
  • MEDICAL CITY DALLAS HOSPITAL - (Acute Care)
    7777 FOREST LANE
    DALLAS, TX 75230
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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