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Karina Banda-Mancilla

NPI 1851156137 · on the registry since 2024 · sole proprietor

Practice

Address
16044 County Road 165
Tyler, TX 75703
Phone
(903) 526-5599
Organisation at this address
Er Opco Ml Llc
Meadow Lake, Llc
Sears Tyler Methodist Retirement Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-16

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