Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Jack Banta II, MD

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1205848512

Charles Jack Banta II, MD is an Orthopedic Surgery in Dallas, Texas. Graduated from Louisiana State University School of Medicine in New Orleans in 1986, 40 years ago. Practices with Spine Vue PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
40
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8220 Walnut Hill Ln Ste 608
Dallas, TX 75231-4424
Phone: (214) 987-3434
Fax: (214) 987-3799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence J0438 (TX)

Record details

NPI number1205848512
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1986 (40 years in practice)
Group practice Spine Vue Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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