Kim Lisa Bango MD PA

NPI #1477595866 in Big Spring, Texas

Provider Information

NPI Number: 1477595866
Entity Type: Organization
Organization Name: Kim Lisa Bango MD PA
Primary Specialty: Family Medicine
Enumeration Date: Jun 12, 2006
Last Updated: Apr 13, 2010

Practice Location

Address: 1608 W FM 700
Address 2: SUITE D
City: Big Spring
State: Texas
ZIP Code: 79720-4105
Phone: (432) 263-0500

Authorized Official

Name: DR. KIM LISA BANGO, M.D.
Title: OWNER
Phone: (432) 263-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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