Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CARL W LANGE IV, PA
ActiveMR. CARL W LANGE IV, PA is a Physician Assistant healthcare provider located in HOUSTON, Missouri. NPI 1700200458 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HOUSTON, MO
Registration Details
- NPI Number
- 1700200458
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2014 (12.5080709675 yrs)
- Last Updated
- Feb 14, 2014
- License
-
2014004500 (MO)
Practice Information
- Address
-
1337 S SAM HOUSTON BLVDHOUSTON, MO, 654832046Browse MO providers · Browse ZIP 65483
- Phone
- 4179675435
- Fax
- 4179675503
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.