Provider Demographics
NPI:1912000340
Name:HOWARD J LANG DO
Entity Type:Organization
Organization Name:HOWARD J LANG DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:LANG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:817-577-0480
Mailing Address - Street 1:4201 BROWN TRL
Mailing Address - Street 2:STE 100
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-3941
Mailing Address - Country:US
Mailing Address - Phone:817-577-0480
Mailing Address - Fax:817-581-0167
Practice Address - Street 1:4201 BROWN TRL
Practice Address - Street 2:STE 100
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-3941
Practice Address - Country:US
Practice Address - Phone:817-577-0480
Practice Address - Fax:817-581-0167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3040207KA0200X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D97481Medicare UPIN