Individual
DR. KURT CHARLES LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9330 POPPY DR, SUITE 501, DALLAS, TX 75218-4621
(214) 327-2727
(214) 327-1394
Mailing address
7610 STEMMONS FWY, SUITE 500, DALLAS, TX 75247-4231
(214) 689-5960
(214) 630-7293
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H1386
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115280303
—
TX
01
—
83Y772
BCBSTX
TX
Enumeration date
03/24/2006
Last updated
03/31/2017
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