| NPI | 1427035161 |
|---|---|
| Doing Business As | MEDIC LANE PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | TINA BAKER Billing Manager 281-331-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2022-07-13 |