Provider Demographics
NPI:1043536600
Name:BANKS, NATHAN CHASE (DC)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:CHASE
Last Name:BANKS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 JENNY WREN CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2301
Mailing Address - Country:US
Mailing Address - Phone:832-444-5527
Mailing Address - Fax:
Practice Address - Street 1:118 SHENANDOAH DR
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77381-1118
Practice Address - Country:US
Practice Address - Phone:832-444-5527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11258111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician