Organization Active NPI

Banner Wellness PLLC

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1184548828
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BANNER WELLNESS PLLC
Practice address
6060 Dilbeck LN
Dallas, TX 75240-5351
Phone
(972) 385-3643
Fax
(240) 923-7090
NPI assigned
Aug 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Griselda Hernandez
Title
Billing Administrator
Phone
(817) 845-5622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6060 Dilbeck LN
Dallas, TX 75240-5351

Mailing address

6060 Dilbeck LN
Dallas, TX 75240-5351
Phone (972) 385-3643

National Provider Directory

National Provider Directory

Locations

6060 Dilbeck Ln
Dallas, TX 75240
Phone (469) 916-1592

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1184548828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 DILBECK LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405351",
            "telephone_number": "972-385-3643",
            "fax_number": "240-923-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 DILBECK LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405351",
            "telephone_number": "972-385-3643",
            "fax_number": "240-923-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "GRISELDA",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "817-845-5622"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.