Individual provider · Type 1 NPI

Devyn Lane, PA-C

Surgical Physician Assistant · Dallas, TX

NPI number 1235658717 Active

Practice location

12200 Park Central Dr Ste 400
Dallas, TX 75251-2116

Mailing address

3900 Grapevine Mills Pkwy Unit 2836
Grapevine, TX 76051-0938

Other practice locations

  • 7000 W Plano Pkwy Ste 200, Plano, TX 75093-8490 · (214) 483-9300

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA11353 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1235658717

Devyn Lane, PA-C's National Provider Identifier is 1235658717, issued on Sep 15, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Mar 24, 2021.