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Individual

DAN LENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
890 ROCKWALL PKWY STE 102, ROCKWALL, TX 75032-6871
(972) 475-5600
(972) 475-5668
Mailing address
890 ROCKWALL PKWY STE 102, ROCKWALL, TX 75032-6871
(972) 475-5600
(972) 475-5668

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
D38003
MD
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
J1293
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105920603
TX
05
105920604
TX
05
105920605
TX
05
3810000990
WV
01
611595-01
BLUE CROSS/BLUE SHIELD
MD
05
683504000
MD
Enumeration date
04/07/2006
Last updated
04/29/2020
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