Individual
LYNDA LAN TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7777 FOREST LANE, BLDG. B 300, DALLAS, TX 75230-2571
(972) 284-7770
(972) 284-7780
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(177) 408-4508
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R0797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373038401
—
TX
05
—
373038402
—
TX
Enumeration date
03/28/2014
Last updated
03/11/2020
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