Banister, Pamela K

Banister, Pamela K is an individual health care provider with primary practice located at 3501 S Soncy Rd Ste 150 , Amarillo TX 79119-6426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Banister, Pamela K can be contacted via phone (806) 212-6353.

Contact Information

Primary practice address
3501 S Soncy Rd Ste 150 Amarillo TX 79119-6426
Fax: (806) 212-0558
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12878 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K7991 Texas

Profile Details

NPI number 1043212616
LBN Legal business name Banister, Pamela K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Sep 1st, 2020 - about 4 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 1043212616 NPPES
Texas MEDICAID 111959607
Texas Other 1D7229

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