Provider Demographics
NPI:1508000159
Name:LANG, BAMBI CROSS (RN, MSN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BAMBI
Middle Name:CROSS
Last Name:LANG
Suffix:
Gender:F
Credentials:RN, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6770 BERTNER ST # C355P
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2604
Mailing Address - Country:US
Mailing Address - Phone:832-355-2285
Mailing Address - Fax:832-355-9344
Practice Address - Street 1:6770 BERTNER ST # C355P
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2604
Practice Address - Country:US
Practice Address - Phone:832-355-2285
Practice Address - Fax:832-355-9344
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX533543363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily