Charles Fred Lang JR. LMT

NPI 1558697219 - Massage Therapist - 225700000X

NPI Details
NPI 1558697219
Gender Male
Enumeration Date 10/29/2009
Last Updated 11/23/2009
Entity Type Individual
Active Over 6 years ago
Practice Location
BRYAN TX, 77808-7838, US
Phone (832) 283-3300
Business Location
PO BOX 5519
BRYAN TX, 77805-5519, US
Phone (832) 283-3300
Taxonomy Code 225700000X
License State Texas
License Number MT005888
Remove 1558697219 NPI Number

According to our database, Charles Fred Lang JR. LMT NPI is 1558697219, taxonomy code is 225700000X and license number is MT005888, license state is located at Texas. Charles Fred Lang JR. LMT physically located at 4410 Colony Chase Dr, Bryan TX, 77808-7838. NPI Number Charles Fred Lang JR. LMT has the Individual type.

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1558697219 NPI number is provided on an as is basis without warranty of any kind. 1558697219 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Fred Lang JR. LMT are for informational purposes only.