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1023314309
NATHANIEL GRAHAM LANE
FORT WORTH, TX
NPI
1023314309
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Other Name
NATHAN LANE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX Q5847)
Enumeration Date
2011-02-02
Last Update Date
2018-05-25
Business Address
NATHANIEL GRAHAM LANE M.D.
6451 BRENTWOOD STAIR RD STE 200
FORT WORTH, TX 76112
Phone number: 720-201-9397
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Mailing Address
NATHANIEL GRAHAM LANE M.D.
6505 WEST PARK BLVD. STE. 306 PMB # 514
PLANO, TX 75093
Phone number: 720-201-9397
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