Search › Texas › 103TC0700X
Ethan Bannar, PSYD
NPI 1467962928 · on the registry since 2017
Practice
- Address
- 271 Ft Richardson Ave
Goodfellow Afb, TX 76908 - Phone
- (325) 654-3122
- Fax
- (325) 654-5161
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101Y00000X
390200000X - Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas