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Crystal Monique Banda
Primary Care Nurse Practitioner in San Antonio, Texas
NPI 1619501723

Crystal Monique Banda is a Primary Care Nurse Practitioner based in San Antonio, TX and is specialized in Primary Care. Crystal Monique Banda practices in San Antonio, TX. The NPI Number for Crystal Monique Banda is 1619501723 and holds a License No. 33644 (Texas).

The current practice location address for Crystal Monique Banda is 810 Se Military Dr, San Antonio, TX and can be reached out via phone at 210-921-4200.

Location: 810 Se Military Dr, San Antonio, TX, 78215-1327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619501723
Provider Name
Crystal Monique Banda
Credential
Provider Entity Type
Individual
Gender
Female
Address
810 Se Military Dr, San Antonio, TX, 78215-1327
Phone Number
210-921-4200
Fax Number
Provider Enumeration Date
02/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
810 Se Military Dr
City
San Antonio
State
Texas
Zip
78214-2823
Phone Number
210-921-4200
Fax Number
person
Provider Business Mailing Address Details
Address
810 Se Military Dr
City
San Antonio
State
Texas
Zip
78214-2823
Phone Number
210-921-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
33644 (Texas)
Definition
Definition to come...
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