Tania Banda, LVN

Individual provider Active NPI Licensed Vocational Nurse · Converse, TX

NPI 1831673508 · NPPES record last updated Sep 19, 2018

Key facts

NPI
1831673508
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
344230 (TX)
Practice address
9060 FM 78 Apt 915
Converse, TX 78109-1208
Phone
(210) 762-9957
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
344230TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 344230 TX Yes

Addresses

Primary practice location

9060 FM 78 Apt 915
Converse, TX 78109-1208

Mailing address

9060 FM 78 Apt 915
Converse, TX 78109-1208
Phone (210) 762-9957

Other practice location 1

9060 Fm 78 Apt 915
Converse, TX 78109-1208
Phone (210) 762-9957

Other providers in Converse, TX

All providers in Converse, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.