CRYSTAL MONIQUE BANDA (NPI# 1619501723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619501723 |
| Entity Type | Individual |
| Full Name | CRYSTAL MONIQUE BANDA |
| Practice Address |
810 Se Military Dr San Antonio TX 78214-2823 |
| Mailing Address |
1221 Broadway St Unit 306 San Antonio TX 78215-1327 |
| Practice Telephone | 2109214200 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
33644 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
810 SE MILITARY DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78214-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982670790 | Carmen Perez | Internal Medicine | 810 Se Military Dr, San Antonio, TX 78214-2823 | 2006-02-23 |
| 1437616778 | Glafiro Gomez | Pharmacist | 810 Se Military Dr, San Antonio, TX 78214-2823 | 2019-02-22 |
| 1528576972 | Yedlisbett Garrett | Physician Assistant | 810 Se Military Dr, San Antonio, TX 78214-2823 | 2018-01-19 |
| 1023351590 | David Emmanuel Aldrete | Family Medicine | 810 Se Military Dr, San Antonio, TX 78214-2823 | 2013-04-02 |
| 1114206588 | I.v. Care of S.a, Inc. | Pharmacy | 810 Se Military Dr, Suite A, San Antonio, TX 78214-2823 | 2011-08-16 |
| 1669487286 | Military Apothecary Lp | Pharmacy | 810 Se Military Dr, San Antonio, TX 78214-2823 | 2006-07-30 |
| 1659340982 | Rodrigo David Cantu | Family Medicine | 810 Se Military Dr, San Antonio, TX 78214-2823 | 2006-03-17 |
| 1427024298 | Steven Anthony Moralez | Internal Medicine | 810 Se Military Dr, San Antonio, TX 78214-2823 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104380245 | Mission Event Senior Center LLC | Clinic/Center | 5614 South Flores Street, San Antonio, TX 78214 | 2019-01-23 |
| 1396239497 | Allen Ray Williams II | Chiropractor | 6000 Farm To Market 3009, Ste 200, San Antonio, TX 78214 | 2018-06-21 |
| 1326482027 | Rolando Gonzalez | Specialist/Technologist, Other | 1131 91st St, San Antonio, TX 78214 | 2013-04-24 |
| 1235425463 | Roberto Issac Cortez | Dentist | 3454 Roosevelt Avenue, San Antonio, TX 78214 | 2011-06-27 |
| 1104110501 | Mission Plaza Dental Pllc | Dentist | 3454 Roosevelt Ave., San Antonio, TX 78214 | 2011-06-02 |
| 1982904561 | Amir Ahmed | Pharmacist | 119 Huizar Street, Cyctic Fibrosis Services, San Antonio, TX 78214 | 2010-10-28 |
| 1962734160 | J. Andrew Jackson, D.d.s. Ltd., LLP | Dentist | 600 Division, Suite E., San Antonio, TX 78214 | 2010-02-12 |
| 1881805653 | Bruce Lee Vetters | Dentist | 6619 S Flores, San Antonio, TX 78214 | 2007-05-24 |
| 1053403147 | John D Cochran Dds Inc | Dentist | 5713 South Flores, San Antonio, TX 78214 | 2006-09-28 |
| 1306945415 | Idalia Ivanna Benavides | Specialist | 161 Tommins Ave., San Antonio, TX 78214 | 2006-09-22 |
| Find all providers in zip 78214 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548882764 | Martha Ann Ruiz | Nurse Practitioner | 155 W Bonner Ave, San Antonio, TX 78214-2475 | 2020-05-11 |
| 1316583545 | Premier Providers Medclinc,pllc | Nurse Practitioner | 9130 Wurzbach Rd Ste 102, San Antonio, TX 78240-1070 | 2019-11-22 |
| 1215587365 | Beng Keong Ooi | Nurse Practitioner | 4315 Renault Dr, San Antonio, TX 78218-5034 | 2019-09-19 |
| 1548725658 | Jennifer Ybarra Dimas | Nurse Practitioner | 94 Briggs St Ste 400, San Antonio, TX 78224-1206 | 2019-02-02 |
| 1730658626 | Vanessa Mauricio | Nurse Practitioner | 14830 Peoples Dr, San Antonio, TX 78253-6234 | 2018-11-20 |
| 1275063331 | Bernadette Kucinski | Nurse Practitioner | 1222 N Main Ave Ste 115, San Antonio, TX 78212-5780 | 2017-06-12 |
| 1083079404 | Daja Carrick Hernandez | Nurse Practitioner | 2226 Bigmouth Rod, San Antonio, TX 78224-3155 | 2015-12-30 |
| 1588294300 | Premier Providers Medclinic, Pllc | Nurse Practitioner | 9130 Wurzbach Rd Ste 102, San Antonio, TX 78240-1070 | 2020-01-21 |
| 1710522040 | Angelita Estrada | Nurse Practitioner | 3939 Medical Dr Ste 100, San Antonio, TX 78229-2292 | 2019-11-11 |
| 1053956623 | Gilbert Roman Cervantes | Nurse Practitioner | 3333 Research Plz, San Antonio, TX 78235-5154 | 2019-11-07 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78214 |
Please comment or provide details below to improve the information on CRYSTAL MONIQUE BANDA.
| 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.