Provider Demographics
NPI:1053650812
Name:LANAGAN, DAVID MAYO (LP)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MAYO
Last Name:LANAGAN
Suffix:
Gender:M
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16659 SOUTHWEST FWY STE 235
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2372
Mailing Address - Country:US
Mailing Address - Phone:281-980-2717
Mailing Address - Fax:866-527-5004
Practice Address - Street 1:16659 SOUTHWEST FWY STE 235
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2372
Practice Address - Country:US
Practice Address - Phone:281-980-2717
Practice Address - Fax:866-527-5004
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105426146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic