Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | J2348 | TX |
NPI | 1104850486 |
---|---|
Provider Name | Dr. Amy S Lang |
First Address | San Antonio, TX 78229-3307 |
Second Address | San Antonio, TX 78229-3307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 11/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
118668602 | (05) | TX |
118668604 | (05) | TX |
5128306 | AETNA PIN# (01) | |
G32567 | (02) |