Individual
DR. GABRIEL LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, DEPARTMENT OF ANESTHESIOLOGY, TEMPLE, TX 76508-0001
(254) 724-5306
Mailing address
1503 N MAPLE AVE, SAND SPRINGS, OK 74063-8139
(254) 258-7272
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BP10040119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
558148
TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING PERMIT
TX
Enumeration date
06/07/2011
Last updated
12/07/2022
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