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Organization
SHANE G LANYS MD PA
Active
Organization
SHANE G LANYS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TIFFANY N WOOD (OFFICE MANAGER)
(713) 721-4114
Entity
Organization
Contact information
Practice address
7739 W BELLFORT ST, HOUSTON, TX 77071-2104
(713) 721-4114
(713) 721-2349
Mailing address
7739 W BELLFORT ST, HOUSTON, TX 77071-2104
(713) 721-4114
(713) 721-2349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034HL
BLUE CROSS
TX
01
—
1467412759
OLD NPI NUMBER
TX
01
—
8597B9
MEDICARE
TX
01
—
8597B9T
MEDICARE
TX
01
—
86202Z
RENAISSANCE
TX
Enumeration date
12/07/2007
Last updated
03/19/2008
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