| NPI | 1205846995 |
|---|---|
| Doing Business As | BANDER FAMILY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | AMY R BANDER Office Manager 972-442-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX G3129) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: TX G3129) |
| 302R00000X Health Maintenance Organization (Licence: TX G3129) | |
| 305S00000X Point of Service (Licence: TX G3129) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-11-01 |