Charles Jack Banta II, MD

NPI #1205848512 in Dallas, Texas

Provider Information

NPI Number
1205848512
Entity Type
Individual
Name
Charles Jack Banta II, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Credential
MD
Enumeration Date
Aug 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
8220 WALNUT HILL LN STE 608
City
Dallas
State
Texas
ZIP Code
75231-4424
Phone
(214) 987-3434

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery - Orthopaedic Surgery of the SpineOrthopaedic Surgery of the Spine

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