Bennie W. Lane, MD
in Dallas, TX. Individual provider (NPI-1).
NPI number1265464366
StatusActive
Last updated in NPPESFeb 7, 2008
Details
- NPI
- 1265464366
- Entity type
- Individual (NPI-1)
- Name
- Bennie W. Lane
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2006
- Last updated
- Feb 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | D4190 | TX | Yes |
Practice location
7777 Forest Lane#a 214
Dallas, TX 75230-0000
Phone 972-566-7860 · Fax 972-566-6673
Mailing address
7777 Forest Lane#a 214
Dallas, TX 75230-0000
Phone 972-566-7860 · Fax 972-566-6673
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