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Individual

RICHARD A. LANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5200
(915) 215-8640
Mailing address
5130 GATEWAY BLVD E # 51015, EL PASO, TX 79905-1608
(915) 215-4480
(915) 215-5386

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G3543
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114897504
TX
05
403822300
MD
Enumeration date
06/03/2006
Last updated
11/08/2023
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