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Charles Jack Banta Ii, MD
Orthopedic Surgery of the Spine Physician in Dallas, Texas
NPI 1205848512

Charles Jack Banta Ii is a Orthopedic Surgery of the Spine Physician based in Dallas, TX and is specialized in Orthopedic Surgery of the Spine. Charles Jack Banta Ii practices in Dallas, TX and has the professional credentials of MD. The NPI Number for Charles Jack Banta Ii is 1205848512 and holds a License No. J0438 (Texas).

The current practice location address for Charles Jack Banta Ii is 8220 Walnut Hill Ln Ste 608, Dallas, TX and can be reached out via phone at 214-987-3434 and via fax at 214-987-3799.

Location: 8220 Walnut Hill Ln Ste 608, Dallas, TX, 75231-4424
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Provider Profile Details
NPI Number
1205848512
Provider Name
Charles Jack Banta Ii
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8220 Walnut Hill Ln Ste 608, Dallas, TX, 75231-4424
Phone Number
214-987-3434
Fax Number
214-987-3799
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81W560 01 TX BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
8220 Walnut Hill Ln Ste 608
City
State
Zip
75231-4424
Phone Number
214-987-3434
Fax Number
214-987-3799
person
Provider Business Mailing Address Details
Address
8220 Walnut Hill Ln Ste 608
City
State
Zip
75231-4424
Phone Number
214-987-3434
Fax Number
214-987-3799
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
License No.
J0438 (Texas)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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