person
Jory D Lange, MD
Specialist in San Antonio, Texas
NPI 1467450478

Jory D Lange is a Specialist based in San Antonio, TX. Jory D Lange practices in San Antonio, TX and has the professional credentials of MD. The NPI Number for Jory D Lange is 1467450478 and holds a License No. E6121 (Texas).

The current practice location address for Jory D Lange is 8038 Wurzbach Rd, San Antonio, TX and can be reached out via phone at 210-616-0866 and via fax at 210-616-0868. You can also correspond with Jory D Lange through the mailing address at 3711 MARY MONT DR, SAN ANTONIO, TX - 78217-3415 (mailing address contact number: 210-616-0866).

Location: 8038 Wurzbach Rd, San Antonio, TX, 78217-3415
person
Provider Profile Details
NPI Number
1467450478
Provider Name
Jory D Lange
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8038 Wurzbach Rd, San Antonio, TX, 78217-3415
Phone Number
210-616-0866
Fax Number
210-616-0868
Provider Enumeration Date
07/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300018335 01 TX RR MEDICARE
120215205 05 TX
institution
Provider Business Practice Location Address Details
Address
8038 Wurzbach Rd
City
State
Zip
78229-3817
Phone Number
210-616-0866
Fax Number
210-616-0868
person
Provider Business Mailing Address Details
Address
8038 Wurzbach Rd
City
State
Zip
78229-3817
Phone Number
210-616-0866
Fax Number
210-616-0868
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
E6121 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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