Provider Demographics
NPI:1619382371
Name:LANG, ADAM M (CRNA)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:M
Last Name:LANG
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5516 SOUTHERN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6862
Mailing Address - Country:US
Mailing Address - Phone:214-604-7427
Mailing Address - Fax:
Practice Address - Street 1:1705 OHIO DR STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5256
Practice Address - Country:US
Practice Address - Phone:972-612-0430
Practice Address - Fax:844-585-6193
Is Sole Proprietor?:No
Enumeration Date:2014-06-21
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX771625367500000X
TXAP125829367500000X, 367500000X
OK200314367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered