Won Joo Bang,M.D.P. a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D-8993 Issued in TX

Legal business name

WON JOO BANG,M.D.P. A.

Practice address

2338 Texas St
Suite 1
Pecos, TX 79772-7302

Phone

(432) 447-6280

NPI assigned

Dec 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Won Joo Bang, M.D.NPI 1134304025

Title

President

Phone

(432) 447-6280

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Won Joo Bang, M.D.

  • Surgery Physician
  • Pecos, TX
  • NPI 1134304025
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760541874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 TEXAS ST",
            "address_2": "SUITE 1",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797727302",
            "telephone_number": "432-447-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 TEXAS ST",
            "address_2": "SUITE 1",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797727302",
            "telephone_number": "432-447-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WON JOO BANG,M.D.P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANG",
        "authorized_official_first_name": "WON",
        "authorized_official_middle_name": "JOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-447-6280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "D-8993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "2313128",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Raymond Vaughn
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0898)
• Christopher G. Wallace, PA
• Raena Jamice Williams, LCSW
• Carla Patricia Winsor, RN
• Yan Ting Wu

• Surgery Physician in Pecos, TX
• Providers in Pecos, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.