Individual
CAROL A. LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
5201 HARRY HINES BLVD, MEDICAL STAFF SERVICES, DALLAS, TX 75235-7708
(214) 590-8006
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
240909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041563002
—
TX
05
—
041563003
—
TX
05
—
041563004
—
TX
05
—
041563005
—
TX
05
—
041563006
—
TX
05
—
041563007
—
TX
05
—
041563008
—
TX
05
—
041563009
—
TX
05
—
041563010
—
TX
05
—
041563011
—
TX
05
—
041563012
—
TX
Enumeration date
12/21/2006
Last updated
04/06/2009
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