| Diana Bankhead Md Pllc | |
|
139 Maxine St Mineola TX 75773-1011 | |
| (903) 569-2929 | |
| Not Available |
| Full Name | Diana Bankhead Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 139 Maxine St, Mineola, Texas |
| Authorized Official Name and Position | Diana C Bankhead (OWNER) |
| Authorized Official Contact | 9035692929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Bankhead Md Pllc 139 Maxine St Mineola TX 75773-1011 Ph: (903) 569-2929 | Diana Bankhead Md Pllc 139 Maxine St Mineola TX 75773-1011 Ph: (903) 569-2929 |
| NPI Number | 1851629059 |
|---|---|
| Provider Enumeration Date | 11/27/2009 |
| Last Update Date | 11/27/2009 |
| Medicare PECOS PAC ID | 7416083563 |
|---|---|
| Medicare Enrollment ID | O20100329000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851629059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Diana C Bankhead |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1316977820 PECOS PAC ID: 6709835739 Enrollment ID: I20080513000089 |
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