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Contact Information

ELOISA Y BANEZ, MD
200 STADIUM DRIVE
SEYMOUR, TX76380
 Phone: 940-889-5572
 Fax: 940-889-3337
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ELOISA Y BANEZ · (Female)

NPI # 1699765974
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2005
Last updated 10/30/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # G0347
  • TX Medicaid 130795102
  • TX Medicaid 130795107
  • TX Other BA000H65L BLUE CROSS
  • TX Other 110034454 RAILROAD MEDICARE PIN
Hospital affiliation(s)
  • SEYMOUR HOSPITAL - (Acute Care)
    200 STADIUM DRIVE
    SEYMOUR, TX 76380
  • UNITED REGIONAL HEALTH CARE SYSTEM - (Acute Care)
    1600 11TH STREET
    WICHITA FALLS, TX 76301
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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