Provider Type Icon

KRISTI B BAGNELL NPI 1669976528


NPI Information

NPI: 1669976528
Provider Name: KRISTI B BAGNELL
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2304 JUDSON RD STE D
LONGVIEW, TX
ZIP 75605
Phone: (903) 212-6060
Get Directions

KRISTI B BAGNELL is a pediatrics in Longview, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. KRISTI B BAGNELL NPI is 1669976528. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2304 JUDSON RD STE D
LONGVIEW, TX
ZIP 75605-675
Phone: (903) 212-6060

The provider's authorized official is Michael Bagnell .
The authorized official title is Manager and has the following contact phone number (305) 587-9062.

The enumeration date for this NPI number is 3/23/2018 and was last updated on 3/23/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.