Big Spring Medical Mall, L.l.c.

NPI #1336244235 in Big Spring, Texas

Provider Information

NPI Number
1336244235
Entity Type
Organization
Organization Name
Big Spring Medical Mall, L.l.c.
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Sep 14, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1300 S GREGG ST
Address 2
SUITE A
State
Texas
ZIP Code
79720-4325
Phone
(432) 264-0414

Authorized Official

Name
MR. SEAN L PITMAN, JD
Title
COUNSEL
Phone
(806) 252-1928

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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