Individual provider · NPI-1

Adam S Banasiak, R.N, C.N.O.R, RNFA

Registered Nurse, Registered Nurse First Assistant · Spring, TX

NPI number1326211533

StatusActive

Last updated in NPPESJun 27, 2023

Details

NPI: 1326211533
Entity type: Individual (NPI-1)
Name: Adam S Banasiak
Credential: R.N, C.N.O.R, RNFA
Sex: Male
Sole proprietor: Yes
Enumeration date: Apr 8, 2008
Certification date: Jun 27, 2023
Last updated: Jun 27, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WR0006X	Registered Nurse, Registered Nurse First Assistant	699010	TX	Yes

Practice location

27111 Rose Vervain Dr
Spring, TX 77386-3948

Phone 214-227-2457 · Fax 214-764-0880

Mailing address

9450 Pinecroft Dr # 8691
Spring, TX 77380-3220

Phone 214-227-2457 · Fax 214-764-0880

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