Alberto Q Banez, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

F7694 Issued in TX

Practice address

201 Stadium Dr
Seymour, TX 76380-2343

Phone

(940) 889-5583

Fax

(940) 889-8835

NPI assigned

Oct 31, 2005

Last updated

Dec 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1780675892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STADIUM DR",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763802343",
            "telephone_number": "940-889-5583",
            "fax_number": "940-889-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STADIUM DR",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763802343",
            "telephone_number": "940-889-5583",
            "fax_number": "940-889-8835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Stadium Dr",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "TX",
            "postal_code": "763802344",
            "country_code": "US",
            "telephone_number": "940-889-5572",
            "fax_number": "940-888-1983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANEZ",
        "first_name": "ALBERTO",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "F7694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "BA000H64L",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127972101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A. M. Home Diagnostics, Inc. (Healthline Seymour)
• Eloisa Yu Banez, MD
• Baylor Action Group, Inc.
• Baylor County Hospital District (Seymour Hospital)
• Baylor County Hospital District (Seymour Hospital Home Health)
• Baylor County Hospital District (Seymour Hospital)

• Surgery Physician in Seymour, TX
• Providers in Seymour, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.