CHAIM BANJO MD PHD PA; NPI #1366533952

Contact Information

CHAIM BANJO MD PHD PA

718 W MOORE AVE
101
TERRELL, TX 75160

Phone: 972-551-1900
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for CHAIM BANJO MD PHD PA

NPI Number 1366533952

LBN Legal business name CHAIM BANJO MD PHD PA

Authorized official CHAIM BANJO - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/27/2006

Last updated 03/08/2011 - About 15 years ago

Identifiers

TX	License #	G4442
TX	Medicaid	109453402
TX	Other	85A011	RENDERING PROVIDER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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