Organization Active NPI

Banks Pediatrics PLLC

  • Pediatrics Physician
  • La Grange, TX
National Provider Identifier
1144722984
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BANKS PEDIATRICS PLLC
Practice address
726 S Jefferson St
La Grange, TX 78945-3229
Phone
(979) 206-2005
Fax
(979) 206-2005
NPI assigned
Mar 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marvin Banks
Title
Office Manager
Phone
(979) 206-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

726 S Jefferson St
La Grange, TX 78945-3229

Mailing address

726 S Jefferson St
La Grange, TX 78945-3229
Phone (979) 206-2005

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2176359Banks Pediatrics PLLC726 S. Jefferson St, La Grange, TX 78945Certificate of waiverDec 11, 2027

National Provider Directory

National Provider Directory

Locations

726 S Jefferson St
La Grange, TX 78945
Phone (979) 206-2005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1144722984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 S JEFFERSON ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789453229",
            "telephone_number": "979-206-2005",
            "fax_number": "979-206-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 S JEFFERSON ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789453229",
            "telephone_number": "979-206-2005",
            "fax_number": "979-206-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANKS PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "979-206-2005"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.