Kristi B Bagnell
Pediatrics in Longview, TX. Organization (NPI-2).
NPI number1669976528
StatusActive
Last updated in NPPESMar 23, 2018
Details
- NPI
- 1669976528
- Entity type
- Organization (NPI-2)
- Legal business name
- Kristi B Bagnell
- Organization subpart
- No
- Enumeration date
- Mar 23, 2018
- Last updated
- Mar 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
2304 Judson Rd Ste DLongview, TX 75605-4675
Phone 903-212-6060
Mailing address
2304 Judson Rd Ste DLongview, TX 75605-4675
Phone 903-212-6060
Authorized official
Michael Bagnell
Manager
3055879062
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- Udeme Ekpenyong, MDNPI 1407086333
- Suzanne M Gomez-Diaz, MDNPI 1043284375
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All 35 Pediatrics Physician providers in Longview · All 2,907 providers in Longview
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