Lange, Dodd George

Lange, Dodd George is an individual health care provider with primary practice located at 700 Scott And White Dr , College Station TX 77845-6441. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Lange, Dodd George can be contacted via phone (979) 207-0100.

Contact Information

Primary practice address
700 Scott And White Dr College Station TX 77845-6441
Phone: (979) 207-0100
Fax: (979) 207-2161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 627638 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 627638 Texas

Profile Details

NPI number 1386717080
LBN Legal business name Lange, Dodd George
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Mar 13th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386717080 NPPES
Texas Other 8Y3120 BCBS

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