Individual
DEVYN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12200 PARK CENTRAL DR STE 400, DALLAS, TX 75251-2116
(214) 483-9300
Mailing address
3900 GRAPEVINE MILLS PKWY UNIT 2836, GRAPEVINE, TX 76051-0938
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA11353
TX
Other
Enumeration date
09/15/2017
Last updated
03/24/2021
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