Individual
DR. CHADRICK EUGENE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6363 FOREST PARK RD 7TH FL STE 749, DALLAS, TX 75390-6624
(214) 645-8500
(214) 645-3775
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
S9731
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2014
Last updated
07/30/2021
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