SHONDA BANEGAS


Address: 700 Walter Reed Blvd Ste 203, Garland, TX 75042
Phone: 9724269900

SHONDA BANEGAS (NPI# 1306026703) 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) 1306026703
Entity Type Individual
Full Name SHONDA BANEGAS
Credential D. O.
Practice Address 700 Walter Reed Blvd Ste 203
Garland
TX 75042
Mailing Address 700 Walter Reed Blvd Ste 203
Garland
TX 75042-3711
Practice Telephone 9724269900
Practice Fax Number 9724269899
Mailing Telephone 9724269900
Mailing Fax Number 9724269899
Enumeration Date 2007-11-14
Last Update Date 2018-08-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 5101016869 MI Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
R7657 TX Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
6136 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 830174 05

Office Location

Street Address 700 WALTER REED BLVD STE 203
City GARLAND
State TX
Zip Code 75042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003158577 Ranan Ayal Mendelsberg Surgery 700 Walter Reed Blvd Ste 203, Garland, TX 75042-3711 2013-03-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699259697 Abiodun Gloria Irabor-musa Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3106 Centennial Dr, Garland, TX 75042 2018-09-17
1356870620 Brad Taylor Landrum Family Medicine 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 2017-06-08
1043662034 Alicia Valdiviezo Physician Assistant 2046 Forest Ln Ste 130, Garland, TX 75042 2016-07-01
1053711184 Jamette Hickman Physical Therapist 705 Walter Reed Blvd Suite 100, Garland, TX 75042 2014-08-26
1619397932 Saint Catherine Hospice Inc. Hospice, Inpatient 4229 Glenhaven Drive, Garland, TX 75042 2014-04-25
1821424094 Angel Care Team Adult Companion 1801 Evelyn Dr., Garland, TX 75042 2013-09-19
1427311042 Baylor Family Medicine Clinic Case Manager/Care Coordinator 601 Clara Barton, 340, Garland, TX 75042 2012-06-19
1003176959 Benedict Eric Homer Dentist 813 North Jupiter Rd., Garland, TX 75042 2012-05-25
1518254929 Rama Sulochana Narla Emergency Medicine 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 2011-07-06
1093002917 Mecca Group Community/Behavioral Health 1213 Patricia Ln, Garland, TX 75042 2011-06-29
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083725634 Dallas Vein Center, Pa Surgery 618 Clara Barton, Suite #1, Garland, TX 75042 2006-08-31
1982095329 Vascular Care of Texas, Pllc Surgery 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3701 2015-02-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407482003 Endovascular Lab Pllc Surgery 612 N Washington Avenue, Suite 100, Odessa, TX 79761 2020-03-16
1356980163 Jeffrey M. Martinez, M.d., P.a. Surgery 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 2019-12-26
1245875061 Usa Vascular Center of Dallas Pllc Surgery 2300 W Fm 544 Ste B, Wylie, TX 75098-4931 2019-11-15
1740830959 Coastal Plains Endeavors LLC Surgery 1602 E Houston St Ste A, Beeville, TX 78102-5335 2019-09-19
1205488632 Usa Vein Clinics of Dallas Pllc Surgery 3128 Forest Ln Ste 320, Dallas, TX 75234-7761 2019-07-16
1558922625 Sudad Kareem Al Hadad Surgery 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 2019-06-27
1043782907 Timothy C. Pringle Md Pa Surgery 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 2018-12-17
1518449701 Kenton Lee Rommens Surgery 6400 Fannin St. Suite 2850, Houston, TX 77030 2018-09-04
1336633999 Total Vein Treatment Centers Surgery 2301 Marsh Ln Ste 210, Plano, TX 75093-8497 2018-06-18
1508384652 Jcm Vein Pllc Vein Care Coastal Bend Surgery 3301 S Alameda St Ste 402, Corpus Christi, TX 78411-1882 2017-09-08
Find all providers with the same taxonomy

Competitor

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City GARLAND
Zip Code 75042

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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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