Dr. Bryan L. Lane
Family Doctor - Sports Medicine
2401 S 31st St
Temple
, Texas 76508
Dr. Bryan L. Lane
Family Doctor - Sports Medicine
2401 S 31st St
Temple
, Texas 76508
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Bryan L. Lane
- Po Box 844658
- Dallas, TX
- Zip : 75284-4658
- Phone :
Second Address
- Dr. Bryan L. Lane
- 2401 S 31st St
- Temple, TX
- Zip : 76508
- Phone : (254) 724-2663
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | J6535 | TX |
National Provider Identifier
| NPI | 1245291608 |
|---|---|
| Provider Name | Dr. Bryan L. Lane |
| First Address | Dallas, TX 75284-4658 |
| Second Address | Temple, TX 76508 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2006 |
| Last Update Date | 30/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0486011-01 | CSHCN (01) | TX |
| 080161733 | RR/MEDICARE (01) | TX |
| 1222655-01 | (05) | TX |
| 88791N | BLUE SHIELD (01) | TX |
| F93983 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.