MR. JOBEN SAMSON BANAN


Address: 7217 Telecom Parkway, Suite 100, Garland, TX 75044
Phone: 4698002100

MR. JOBEN SAMSON BANAN (NPI# 1699256636) 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) 1699256636
Entity Type Individual
Full Name MR. JOBEN SAMSON BANAN
Credential FNP-C
Practice Address 7217 Telecom Parkway
Suite 100
Garland
TX 75044
Mailing Address 7609 Amesbury Ln
Rowlett
TX 75089-3881
Practice Telephone 4698002100
Enumeration Date 2018-08-28
Last Update Date 2018-08-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP137884 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5345 N President George Bush Hwy, Garland, TX 750402767 4698002100

Office Location

Street Address 7217 TELECOM PARKWAY
SUITE 100
City GARLAND
State TX
Zip Code 75044

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942491063 Tiffany R Jackson Obstetrics & Gynecology 7217 Telecom Parkway, Suite 290, Garland, TX 75044 2007-08-05
1003385378 Sharhonda Anderson Physician Assistant 7217 Telecom Parkway, Suite 290, Garland, TX 75044 2018-11-16
1780165845 Btdi Jv LLP Physiological Laboratory 7217 Telecom Parkway, Suite 150, Garland, TX 75044 2018-08-27

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NPI Name Taxonomy Address Enumeration
1982236170 Shiloh Urgent Care Pllc Clinic/Center 2630 Arapaho Rd, Garland, TX 75044 2020-02-06
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1497117014 Hue Dental Pllc Dentist 5814 N Jupiter Rd, Suite 199, Garland, TX 75044 2016-03-23
1942617022 Lily Hoang Dentist 7030 N Shiloh Rd # 200, Garland, TX 75044 2014-07-21
1386068682 Oc Chiropractic Chiropractor 4750 N. Jupiter Rd, Ste 219, Garland, TX 75044 2014-02-07
1205265386 Modern Sleep Solutions Pllc Dentist 1215 Thomasville Ct., Garland, TX 75044 2013-11-08
1023359700 Long Hong Ha Chiropractor 2426 Creekdale Dr, Garland, TX 75044 2013-03-06
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1710522560 Daphne Weed Nurse Practitioner 1038 Holland Dr, Garland, TX 75040-4226 2019-11-14
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1548721368 Ancy Abraham George Nurse Practitioner 4425 Sea Sparrow Ln, Garland, TX 75043-2677 2019-03-26
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1447721873 Care Express Medical Center LLC Nurse Practitioner 3641 Broadway Blvd Ste 200, Garland, TX 75043-1677 2018-12-11
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Competitor

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City GARLAND
Zip Code 75044

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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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