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Mr. Carl W Lange IV, PA
Physician Assistant in Houston, Missouri
NPI 1700200458

Carl W Lange IV is a Physician Assistant based in Houston, MO. Carl W Lange IV practices in Houston, MO and has the professional credentials of PA. The NPI Number for Carl W Lange IV is 1700200458 and holds a License No. 2014004500 (Missouri).

The current practice location address for Carl W Lange IV is 1337 S Sam Houston Blvd, Houston, MO and can be reached out via phone at 417-967-5435 and via fax at 417-967-5503.

Location: 1337 S Sam Houston Blvd, Houston, MO, 65483-2046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700200458
Provider Name
Carl W Lange IV
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1337 S Sam Houston Blvd, Houston, MO, 65483-2046
Phone Number
417-967-5435
Fax Number
417-967-5503
Provider Enumeration Date
02/14/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1700200458 05 MO
26D0889777 01 MO CLIA
institution
Provider Business Practice Location Address Details
Address
1337 S Sam Houston Blvd
City
Houston
State
Missouri
Zip
65483-2046
Phone Number
417-967-5435
Fax Number
417-967-5503
person
Provider Business Mailing Address Details
Address
1337 S Sam Houston Blvd
City
Houston
State
Missouri
Zip
65483-2046
Phone Number
417-967-5435
Fax Number
417-967-5503
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
2014004500 (Missouri)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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