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Organization
BAGWELL ELITE HOSPITALISTS PLLC
Active
Organization
BAGWELL ELITE HOSPITALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON BAGWELL MD (MANAGER)
(936) 499-2445
Entity
Organization
Contact information
Practice address
150 E HARMON AVE, LAS VEGAS, NV 89109-4533
(702) 546-0911
(281) 503-7525
Mailing address
PO BOX 190, NEW WAVERLY, TX 77358-0190
(936) 499-2445
(281) 503-7525
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
NV20181459053
NV
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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