Individual
DR. DUSTIN LANE CORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 MEDICAL PKWY, BRENHAM, TX 77833-5413
(979) 337-5000
Mailing address
PO BOX 650823 DEPT #41534, DALLAS, TX 75265-0823
(979) 337-5000
(405) 844-1794
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q0029
TX
Other
Enumeration date
06/13/2011
Last updated
01/27/2015
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