Active NPI
Banks Pediatrics PLLC
- Pediatrics Physician
- La Grange, TX
National Provider Identifier
1144722984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2176359 | Banks Pediatrics PLLC | Certificate of waiver | Dec 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Giddings, TX
- NPI 1255619409
-
- Family Nurse Practitioner
- La Grange, TX
- NPI 1639840010
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.