Steven G. Bander, D.O., P.a.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

G3129 Issued in TX

Legal business name

STEVEN G. BANDER, D.O., P.A.

Doing business as

Bander Family Medical

Practice address

791 S Highway 78
Wylie, TX 75098

Phone

(972) 442-4888

Fax

(972) 442-4970

NPI assigned

Aug 8, 2006

Last updated

Nov 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Amy R Bander

Title

Office Manager

Phone

(972) 442-4888

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Bander Family Medical Doing business as

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1205846995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 S HIGHWAY 78",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984004",
            "telephone_number": "972-442-4888",
            "fax_number": "972-442-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 S HIGHWAY 78",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "972-442-4888",
            "fax_number": "972-442-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN G. BANDER, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "BANDER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-442-4888",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "G3129",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "G3129",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "G3129",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "G3129",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114033703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bander Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Preferred Provider Organization in Wylie, TX
• Providers in Wylie, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.