Banaag, Liza De Olazo

Banaag, Liza De Olazo is an sole proprietor health care provider with primary practice located at 17218 Preston Rd # 2000 , Dallas TX 75252-4018. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Banaag, Liza De Olazo can be contacted via phone (877) 866-7123.

Contact Information

Primary practice address
17218 Preston Rd # 2000 Dallas TX 75252-4018
Phone: (877) 866-7123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X K5793 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K5793 Texas

Profile Details

NPI number 1194916874
LBN Legal business name Banaag, Liza De Olazo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2007
Last updated Jun 19th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194916874 NPPES
Texas MEDICAID 096334004

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