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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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 1972565554 NPPES
Texas MEDICAID 110323601

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