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NPI Code Detail

MEDICARE: DR. LINDA S BANG M.D.

MEDICARE: DR. LINDA S BANG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician226557-1NY
2207R00000XInternal Medicine PhysicianL5238TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
28G3676OTHERMEDICARE PROVIDER NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447243688
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA S BANG M.D.
Provider Business Mailing Address
First Line : 5941 DALLAS PKWY
Second Line :
City : PLANO
State : TX
Zip : 75093-9001
Country : US
Telephone Number : 972-758-4455
Fax Number : 972-758-4433
Provider Business Practice Location Address
First Line : 5941 DALLAS PKWY
Second Line :
City : PLANO
State : TX
Zip : 75093-9001
Country : US
Telephone Number : 972-758-4455
Fax Number : 972-758-4433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 10/05/2011

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Directions to “ DR. LINDA S BANG M.D.” Practice Location

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