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1144266503
THEODORE M BANACH
CORSICANA, TX
NPI
1144266503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX F0795)
Enumeration Date
2006-06-22
Last Update Date
2009-04-13
Business Address
Dr. THEODORE M BANACH MD
3201 W HIGHWAY 22
CORSICANA, TX 75110-2450
Phone number: 204-237-8027
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Mailing Address
Dr. THEODORE M BANACH MD
200 CORPORATE BLVD SUITE 201
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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