Provider Demographics
NPI:1548440324
Name:BANKES, LINDY K (MD)
Entity type:Individual
Prefix:DR
First Name:LINDY
Middle Name:K
Last Name:BANKES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22000
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76902-7200
Mailing Address - Country:US
Mailing Address - Phone:325-658-1511
Mailing Address - Fax:325-659-0180
Practice Address - Street 1:2030 PULLIAM ST
Practice Address - Street 2:SUITE 3
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76905-5175
Practice Address - Country:US
Practice Address - Phone:325-481-2225
Practice Address - Fax:325-659-0180
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM56252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CG607OtherBCBS
TX8CG607OtherBCBS
TXTXB105053Medicare PIN