Individual provider · Type 1 NPI

Carl W. Lange Iv, PA

Physician Assistant · Houston, MO

NPI number 1700200458 Active

Practice location

1337 S Sam Houston Blvd
Houston, MO 65483-2046

Call (417) 967-5435 Map

Fax (417) 967-5503

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2014004500 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

13 other providers at this address

About NPI 1700200458

Carl W. Lange Iv, PA's National Provider Identifier is 1700200458, issued on Feb 14, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Houston, MO. The record was last updated on Feb 14, 2014.