Provider Demographics
NPI:1235900630
Name:BANKS, ANIKA (BSN RN, CVRN-BC)
Entity Type:Individual
Prefix:
First Name:ANIKA
Middle Name:
Last Name:BANKS
Suffix:
Gender:F
Credentials:BSN RN, CVRN-BC
Other - Prefix:
Other - First Name:ANIKA
Other - Middle Name:
Other - Last Name:BANKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSN RN, CVRN-BC
Mailing Address - Street 1:5473 BAIR RD
Mailing Address - Street 2:STE.100 PMB 992797
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4101
Mailing Address - Country:US
Mailing Address - Phone:833-523-6787
Mailing Address - Fax:
Practice Address - Street 1:6700 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2343
Practice Address - Country:US
Practice Address - Phone:346-283-5432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-15
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NA246RP1900X
TX920173163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy