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1508941691
MARY CHRISTINE BANNER
FORT WORTH, TX
NPI
1508941691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: TX K2217)
Enumeration Date
2006-10-26
Last Update Date
2013-05-06
Business Address
-- MARY CHRISTINE BANNER MD
901 7TH AVE
FORT WORTH, TX 76104-2722
Phone number: 682-885-1050
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Mailing Address
-- MARY CHRISTINE BANNER MD
PO BOX 99371
FORT WORTH, TX 76199-0371
Phone number: 682-885-1855
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