ABIMBOLA M. BANJO MD P.A


Address: 130 S Water St, Pleasanton, TX 78064-4044
Phone: 8305692440

ABIMBOLA M. BANJO MD P.A (NPI# 1538720149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538720149
Entity Type Organization
Organization Name ABIMBOLA M. BANJO MD P.A
Practice Address 130 S Water St
Pleasanton
TX 78064-4044
Mailing Address Po Box 146
Pleasanton
TX 78064-0146
Practice Telephone 8305692440
Practice Fax Number 8302184300
Mailing Telephone 8305692440
Mailing Fax Number 8302814300
Enumeration Date 2019-06-25
Last Update Date 2019-06-25
Authorized Official Name DR. ABIMBOLA MICHAEL BANJO (M D)
Authorized Official Telephone 2104167012
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Cornerstone Medical Center Doing Business As Name - Organization

Office Location

Street Address 130 S WATER ST
City PLEASANTON
State TX
Zip Code 78064-4044

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NPI Name Taxonomy Address Enumeration
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1043494875 Lee M Steinle Dentist 3042 Highway 97 East, Pleasanton, TX 78064 2007-12-28
1457553281 A P Surgical Associates Pa Surgery 1540 West Goodwin Street, Pleasanton, TX 78064 2007-06-04
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1174873905 Concentra Primary Care Pa Clinic/Center 220 West Goodwin, Pleasanton, TX 78064-4115 2012-09-19
1124565429 Chen Md & Associates Clinic/Center 4439 Stoneridge Dr, Ste 130, Pleasanton, CA 94588-8314 2017-01-24

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1508463605 Kk Martinez & Associates LLC Clinic/Center 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 2020-10-02
1659987022 Specialists In Geriatric and Palliative Care Medicine Pllc Clinic/Center 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 2020-09-21
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Competitor

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City PLEASANTON
Zip Code 78064

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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