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Individual

DR. RODNEY RAY LANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-7408

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
K5596
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
K5596
TX
207Q00000X
Family Medicine Physician
39260
CO
207Q00000X
Family Medicine Physician
K5596
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015447
KAISER COMMERCIAL NUMBER
05
10202030
CO
Enumeration date
05/10/2006
Last updated
09/30/2020
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