DR. ETHAN SCOTT BANNAR (PSYD) – Clinical Psychologist, NPI 1467962928
Clinical Psychologist
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Provider Addresses for DR. ETHAN SCOTT BANNAR (PSYD)
1100 WILFORD HALL LOOP BLDG 4554
59 MDW/GME
JBSA LACKLAND, TX 782369908
Phone: (210) 292-5972
Type: Location
271 FT RICHARDSON AVE
GOODFELLOW AIR FORCE BASE, TX 76908
Phone: (325) 654-3122
Fax: (325) 654-5161
Type: Mailing
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 78236)
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