Search › Missouri › 363A00000X
Carl Lange, PA
NPI 1700200458 · on the registry since 2014
Practice
- Address
- 1337 S Sam Houston Blvd
Houston, MO 65483 - Phone
- (417) 967-5435
- Fax
- (417) 967-5503
- Organisation at this address
- Texas County Memorial Hospital
Texas County Memorial HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri