LINDA J. BANTA

SAN ANTONIO, TX
NPI1144221359
Former NameLINDA JANE DELOACH BANTA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: TX  J3779)
Enumeration Date2005-08-10
Last Update Date2010-06-04
Business Address
-- LINDA J. BANTA M.D.
109 GALLERY CIR SUITE 135
SAN ANTONIO, TX 78258-3327
Phone number: 210-494-0504
Mailing Address
-- LINDA J. BANTA M.D.
PO BOX 2493
SAN ANTONIO, TX 78299-2493
Phone number: 210-494-0504
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