Banister, William M

Banister, William M is an individual health care provider with primary practice located at 1901 Medi Park Dr Ste 2 , Amarillo TX 79106-2105. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Banister, William M can be contacted via phone (806) 350-7918.

Contact Information

Primary practice address
1901 Medi Park Dr Ste 2 Amarillo TX 79106-2105
Phone: (806) 350-7918
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J1856 Texas
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X J1856 Texas

Profile Details

NPI number 1497785661
LBN Legal business name Banister, William M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Sep 9th, 2021 - about 5 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 1497785661 NPPES
Texas MEDICAID 202326901
Texas MEDICAID 030927001

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