Linda J. Banta, M.D.
NPI #1144221359 in San Antonio, Texas
Provider Information
- NPI Number
- 1144221359
- Entity Type
- Individual
- Name
- Linda J. Banta, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dermatology
- Credential
- M.D.
- Enumeration Date
- Aug 10, 2005
- Last Updated
- Jun 4, 2010
Practice Location
- Address
- 109 GALLERY CIR
- Address 2
- SUITE 135
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78258-3327
- Phone
- (210) 494-0504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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