● Active Type 1 · Individual

Liza De Olazo Banaag, MD

Family Medicine·Dallas, TX· NPI 1194916874 · Enumerated 2007 · 18 years on NPI

Banaag is 1 of 734 family medicine providers in Dallas and 1 of 15966 in Texas.

NPI age

18 years

Enumerated 2007-08-07

Primary specialty

Family Medicine

Plus 1 subspecialty

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2023-06-19

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 15966 active family medicine providers in Texas.

NPI age

18 years

≈ at median (17 yr)

State licenses

1 state

8% of peers hold multiple states

Subspecialties

In the 26% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES

2007 2026

Where they practice

Practice location

17218 Preston Rd # 2000

Dallas, TX 752524018

📞 8778667123

Mailing address

Po Box 742712

Atlanta, GA 303742712

📞 8778667123

Specialties

Allopathic & Osteopathic Physicians › Family Medicine

Family Medicine Primary

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...

TX license #K5793 taxonomy 207Q00000X
Preventive Medicine

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns...

TX license #K5793 taxonomy 2083P0011X

Identifiers

Type	Value	Notes
05 (TX)	096334004

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 3 new family medicine providers have been added in Dallas in the last 180 days. See all →

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.