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Individual

GLADYS ELISA LANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8440 WALNUT HILL LN, SUITE 350, DALLAS, TX 75231-3833
(214) 373-1773
(214) 373-1316
Mailing address
3917 WEST RD, STE 150, LOS ALAMOS, NM 87544-5303
(505) 662-4351
(505) 662-2932

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
H0544
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110323601
TX
Enumeration date
04/06/2006
Last updated
06/15/2018
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