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DR. STEVEN G BANDER DO

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1578545026

Individual Registrant:
DR. STEVEN G BANDER DO
Gender: M
Sole Proprietor

Location and contact information for practice:
791 S HWY 78  WYLIE, TX 75098 US
Tel: 972-442-4888  Fax: 972-442-4970

Contact information for business:
791 S HWY 78  WYLIE, TX 75098-4004 US
Tel: 972-442-4888  Fax: 972-429-0366

Registration Information:
NPI: 1578545026
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
TXG3129

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RR MCR08000364401
114033704TX05
BCBSAW6001
114033703TX05
BCBS00AW60TX01




HEALTH CARE JOBS TX - Page 1



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