MICHELLE BANISTER

AUSTIN, TX
NPI1619210929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: TX  Q7952)
Enumeration Date2013-04-04
Last Update Date2021-11-12
Business Address
MICHELLE BANISTER
601 E 15TH ST
AUSTIN, TX 78701-1930
Phone number: 512-324-8355
Mailing Address
MICHELLE BANISTER
601 E 15TH ST
AUSTIN, TX 78701-1930
Phone number: 512-324-8355
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