Big Spring Medical Mall, L.L.C.
Nurse Practitioner, Family in Big Spring, TX. Organization (NPI-2).
NPI number1336244235
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1336244235
- Entity type
- Organization (NPI-2)
- Legal business name
- Big Spring Medical Mall, L.L.C.
- Organization subpart
- No
- Enumeration date
- Sep 14, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
1300 S Gregg StSuite A
Big Spring, TX 79720-4325
Phone 432-264-0414 · Fax 432-264-9541
Mailing address
1300 S Gregg StSuite A
Big Spring, TX 79720-4325
Phone 432-264-0414 · Fax 432-264-9541
Authorized official
Sean L Pitman
Counsel
8062521928
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