Banegas, Shonda

Banegas, Shonda is an individual health care provider with primary practice located at 5012 S Us Highway 75 Ste 110 , Denison TX 75020-4596. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Banegas, Shonda can be contacted via phone (903) 416-6419.

Contact Information

Primary practice address
5012 S Us Highway 75 Ste 110 Denison TX 75020-4596
Phone: (903) 416-6419
Fax: (903) 416-6484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101016869 Michigan
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 6136 Arizona
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X R7657 Texas

Profile Details

NPI number 1306026703
LBN Legal business name Banegas, Shonda
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2007
Last updated Jul 25th, 2023 - about last year

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 1306026703 NPPES
Texas MEDICAID 348242401

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