Banister, Melinda D.

Banister, Melinda D. is an sole proprietor health care provider with primary practice located at 4505 15Th St , Lubbock TX 79416-4809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Banister, Melinda D. can be contacted via phone (806) 793-3510.

Contact Information

Primary practice address
4505 15Th St Lubbock TX 79416-4809
Phone: (806) 793-3510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X L6775 Texas

Profile Details

NPI number 1770567109
LBN Legal business name Banister, Melinda D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Jan 22nd, 2010 - about 14 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 1770567109 NPPES
Texas Other 8G0352 BC/BS
Texas MEDICAID 73734322 BC/BS
Texas MEDICAID 101068101 BC/BS
Texas MEDICAID 200010850A BC/BS
Texas Other 101068100 BC/BS
Texas MEDICAID 158778402 BC/BS
Texas MEDICAID 158778401 BC/BS
Texas Other 87380Z BC/BS
Texas Other A564 BC/BS
Texas Other 201042058 BC/BS
Texas MEDICAID 201042058 BC/BS

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