Lange, Gladys Elisa
Lange, Gladys Elisa is an individual health care provider with primary practice located at 8440 Walnut Hill Ln Suite 350, Dallas TX 75231-3833. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Lange, Gladys Elisa can be contacted via phone (214) 373-1773.Contact Information
Primary practice address
8440 Walnut Hill Ln Suite 350
Dallas TX 75231-3833
Phone: (214) 373-1773
Fax: (214) 373-1316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | H0544 | Texas |
Profile Details
| NPI number | 1972565554 |
|---|---|
| LBN Legal business name | Lange, Gladys Elisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jun 15th, 2018 - about 6 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 | 1972565554 | NPPES |
| Texas | MEDICAID | 110323601 |
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