Kim Lisa Bango Md Pa

LBN: Kim Lisa Bango Md Pa
Kim Lisa Bango Md Pa is an health care organization with primary practice located at 1608 W Fm 700 Suite D, Big Spring TX 79720-4105. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Kim Lisa Bango Md Pa can be contacted via phone (432) 263-0500, or through Bango, Kim Lisa via phone (432) 263-0500.

Contact Information

Primary practice address
1608 W Fm 700 Suite D Big Spring TX 79720-4105
Phone: (432) 263-0500
Fax: (432) 263-0501
Website:
Map and Directions
Authorized official contact:
Name: Bango, Kim Lisa Doctor of Medicine (MD)
Phone: (432) 263-0500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M3462 Texas

Profile Details

NPI number 1477595866
LBN Legal business name Kim Lisa Bango Md Pa
DBA Doing business as
Authorized official Bango, Kim Lisa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Apr 13th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477595866 NPPES
Texas MEDICAID 182593701

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