Individual
CHARLES FRED LANG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4410 COLONY CHASE DR, BRYAN, TX 77808-7838
(832) 283-3300
Mailing address
PO BOX 5519, BRYAN, TX 77805-5519
(832) 283-3300
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT005888
TX
Other
Enumeration date
10/29/2009
Last updated
11/23/2009
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