Kristi B Bagnell

NPI #1669976528 in Longview, Texas

Provider Information

NPI Number
1669976528
Entity Type
Organization
Organization Name
Kristi B Bagnell
Primary Specialty
Pediatrics
Enumeration Date
Mar 23, 2018
Last Updated
Mar 23, 2018

Practice Location

Address
2304 JUDSON RD STE D
State
Texas
ZIP Code
75605-4675
Phone
(903) 212-6060

Authorized Official

Name
MICHAEL BAGNELL
Title
MANAGER
Phone
(305) 587-9062

Specialties & Taxonomy Codes

Specialty
Pediatrics

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