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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.

Location: 8038 Wurzbach Rd, San Antonio, TX, 78217-3415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
San Antonio
State
Texas
Zip
78229-3817
Phone Number
210-616-0866
Fax Number
210-616-0868
person
Provider Business Mailing Address Details
Address
8038 Wurzbach Rd
City
San Antonio
State
Texas
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
174400000X
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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