Provider Demographics
NPI:1275037012
Name:BANAEE, TOUKA (MD)
Entity Type:Individual
Prefix:
First Name:TOUKA
Middle Name:
Last Name:BANAEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-1106
Mailing Address - Country:US
Mailing Address - Phone:409-747-5800
Mailing Address - Fax:409-772-4456
Practice Address - Street 1:EYE CENTER 700 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0001
Practice Address - Country:US
Practice Address - Phone:409-747-5800
Practice Address - Fax:409-747-5825
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47526207WX0107X
TX47837207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist