Doctor Name: | MR. FRANCISCO BANDA |
NPI Number: | 1538333133 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 111 N 17th St Ste D Donna, TX - 785372969 |
Business Phone Number: | 9564636863 |
Business Fax Number: | |
Mailing Address: | 2206 Highland Dr, WESLACO |
State: | TX |
Postal Code: | 785963898 |
Phone Number: | 9564636863 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2008 |
NPI Last Update Date: | 04/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |