Individual
BENJAMIN JOSEPH LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 GASTON AVE STE 261, DALLAS, TX 75246-1902
(972) 966-7830
Mailing address
6427 FOREST CREEK DR, DALLAS, TX 75230-2814
(972) 824-1657
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
S4802
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10053214
TX
Other
Enumeration date
05/04/2015
Last updated
02/08/2021
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