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Contact Information

CHAIM BANJO MD PHD PA
718 W MOORE AVE
101
TERRELL, TX75160
 Phone: 972-551-1900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHAIM BANJO MD PHD PA · (Female)

NPI # 1366533952
Status Active
Credentials
Entity Individual
Enumeration date 09/27/2006
Last updated 03/08/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # G4442
  • TX Medicaid 109453402
  • TX Other 85A011 RENDERING PROVIDER
Hospital affiliation(s) Not Available
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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