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Jesse Banales

NPI 1437545837 · on the registry since 2015

Practice

Address
333 North Santa Road
Ccf-F3725
San Antonio, TX 78207
Phone
(210) 704-3910

Registry record

Primary taxonomy
2080N0001X
2080N0001X
Also registered as
208000000X
390200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas