Brooks, Melita Lang
Brooks, Melita Lang is an individual health care provider with primary practice located at 3202 S Main St , Lindale TX 75771-7727. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brooks, Melita Lang can be contacted via phone (903) 882-0991.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J1501 | Texas |
Profile Details
| NPI number | 1366430332 |
|---|---|
| LBN Legal business name | Brooks, Melita Lang |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Oct 10th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366430332 | NPPES |
| Texas | Other | 117314 | CHIPS |
| Texas | Other | 752616977028 | CHIPS |
| Texas | MEDICAID | 103402703 | CHIPS |
| Texas | Other | 138737515 | CHIPS |
| Texas | Other | 8S1460 | CHIPS |
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