Provider Demographics
NPI:1376736371
Name:BANKS, ALEXANDER (RNFA)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:BANKS
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 N. QUINLAN PARK RD.
Mailing Address - Street 2:B240
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732
Mailing Address - Country:US
Mailing Address - Phone:512-266-1490
Mailing Address - Fax:512-215-9736
Practice Address - Street 1:2900 N. QUINLAN PARK RD.
Practice Address - Street 2:B240
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732
Practice Address - Country:US
Practice Address - Phone:512-266-1490
Practice Address - Fax:512-215-9736
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX710785163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant