Organization
BOB LANIER MD PA
Active
Parent organization
BOB LANIER MD PA
Other names
Lanier Allergy Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOB LANIER MD PA
Authorized official
MR. BOB Q LANIER MD (OWNER)
(817) 731-9198
Entity
Organization
Contact information
Practice address
6407 SOUTHWEST BLVD, BENBROOK, TX 76132-2777
(817) 731-9198
(817) 731-9199
Mailing address
6407 SOUTWEST BLVD., BENBROOK, TX 76132-2777
(817) 731-9198
(817) 731-9199
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D7140
TX
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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