MARY CHRISTINE BANNER MD NPI 1508941691

NPI Information

NPI: 1508941691
Provider Name: MARY CHRISTINE BANNER, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
901 7TH AVE
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-1050
Get Directions

Mary Christine Banner, MD is a child and adolescent psychiatry psychiatry neurology in Fort Worth, TX. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Mary Christine Banner, MD NPI is 1508941691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

901 7TH AVE
FORT WORTH, TX
ZIP 76104-722
Phone: (682) 885-1050
Fax: (682) 885-7572

The enumeration date for this NPI number is 10/26/2006 and was last updated on 5/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	K2217	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	043860808	OTHER	TEXAS	CSHCN
2	124029	OTHER	TEXAS	SUPERIOR PIN
3	1750369203	OTHER		GRP NPI NUMBER
4	043860807	MEDICAID	TEXAS
5	TXB127596	MEDICARE PIN
6	1727210	OTHER	TEXAS	FIRSTHEALTH PIN
7	413461	OTHER	TEXAS	PHCS PIN
8	00U87Z	OTHER	TEXAS	BCBSTX GRP PIN
9	85381B	OTHER	TEXAS	BCBSTX IND PIN
10	10011835	OTHER	TEXAS	AMERIGROUP PIN
11	F55827	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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