Individual
LANCE G OBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
7300 BOSQUE BLVD., WACO, TX 76710
(254) 202-2600
(254) 202-2650
Mailing address
PO BOX 848476, DALLAS, TX 75284-8476
(254) 202-4655
(254) 202-4697
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E7212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F72F
BLUE CROSS BLUE SHIELD
TX
05
—
098299301
—
TX
Enumeration date
08/09/2006
Last updated
01/07/2021
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