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GORDON A. LANG
OTHER

GORDON A. LANG is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1013380591. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 5698076206. The primary specialty is NURSE PRACTITIONER. The organization is THE UROLOGY TEAM PA. The address is 11410 JOLLYVILLE RD, SUITE 1101, AUSTIN, TX, 787594093. The zip code is 787594093.


Nation Provider ID1013380591
PAC ID by PECOS5698076206
Professional Enrollment IDI20151223000572
NameGORDON A. LANG
Medical School NameOTHER
Graduation Year2013
Primary SpecialtyNURSE PRACTITIONER
All secondary specialties
Organization NameTHE UROLOGY TEAM PA
Group Practice PAC ID9234025503
Number of Group Practice members9
Address11410 JOLLYVILLE RD, SUITE 1101, AUSTIN, TX, 787594093
Hospital affiliation LBN
Graduation Year2013
Contact Number5122311444
Email Address[Show_Email_ID]
Phone Number[Show_Phone]
Website [Show_Website]