Liza De Olazo Banaag, M. D., P. A.
LBN: Liza De Olazo Banaag, M. D., P. A.
Liza De Olazo Banaag, M. D., P. A. is an health care organization with primary practice located at 965 J K Avent Dr Suite 100-A, Grenada MS 38901-5045. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as the primary health care specialty.
Liza De Olazo Banaag, M. D., P. A. can be contacted via phone (662) 227-7446, or through Banaag, Liza De Olazo via phone (832) 646-5492.
Contact Information
Primary practice address
965 J K Avent Dr Suite 100-A
Grenada MS 38901-5045
Phone: (662) 227-7446
Fax:
Website:
Authorized official contact:
Name: Banaag, Liza De Olazo Doctor of Medicine (MD)
Phone: (832) 646-5492
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 19748 | Mississippi |
Profile Details
NPI number | 1558497040 |
---|---|
LBN Legal business name | Liza De Olazo Banaag, M. D., P. A. |
DBA Doing business as | |
Authorized official | Banaag, Liza De Olazo Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 26th, 2007 |
Last updated | Jan 25th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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