Dr Justin Peter Bandino, MD | |
1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | |
(210) 580-4475 | |
(210) 899-1743 |
Full Name | Dr Justin Peter Bandino |
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Gender | Male |
Speciality | Dermatology |
Location | 1100 Wilford Hall Loop, Lackland Afb, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780828863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | R3796 (Texas) | Secondary |
207N00000X | Dermatology | R3796 (Texas) | Primary |
Entity Name | Village Oaks Pathology Services, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730138397 PECOS PAC ID: 5597754507 Enrollment ID: O20040506000871 |
Entity Name | Steven A. Davis Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043236532 PECOS PAC ID: 8224086566 Enrollment ID: O20050104000537 |
Entity Name | Sonterra Dermatology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285925966 PECOS PAC ID: 5193972859 Enrollment ID: O20120831000104 |
Entity Name | Epiphany Dermatology Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043615263 PECOS PAC ID: 3971827791 Enrollment ID: O20150126001498 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Peter Bandino, MD 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 580-4475 | Dr Justin Peter Bandino, MD 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 Ph: (210) 580-4475 |
Dr. Bart O Iddins, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Lackland Afb, TX 78236 Phone: 210-292-7351 |