CHARLES JACK BANTA II

DALLAS, TX
NPI1205848512
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
(Licence: TX  J0438)
Enumeration Date2006-08-13
Last Update Date2007-07-08
Business Address
-- CHARLES JACK BANTA II MD
8220 WALNUT HILL LN STE 608
DALLAS, TX 75231-4424
Phone number: 214-987-3434
Mailing Address
-- CHARLES JACK BANTA II MD
8220 WALNUT HILL LN STE 608
DALLAS, TX 75231-4424
Phone number: 214-987-3434
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