Diana Bankhead MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DIANA BANKHEAD MD PLLC

Practice address

139 Maxine St
Mineola, TX 75773-1011

Phone

(903) 569-2929

NPI assigned

Nov 27, 2009

Organization subpart

No

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

Authorized official

Name

Diana C Bankhead, MD

Title

Owner

Phone

(903) 569-2929

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1259280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259280000000",
    "number": "1851629059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 MAXINE ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731011",
            "telephone_number": "903-569-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MAXINE ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731011",
            "telephone_number": "903-569-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA BANKHEAD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-27",
        "last_updated": "2009-11-27",
        "status": "A",
        "authorized_official_last_name": "BANKHEAD",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-569-2929",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2009; 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.