KEVIN LANE DO PA NPI 1003001579
Family Medicine in Quanah, TX
About KEVIN LANE DO PA
Kevin Lane Do Pa is a provider in Quanah, TX. The NPI number assigned to this provider is 1003001579. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an organization and their NPI record was last updated 11 years ago. Kevin Lane Do Pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Kevin Lane Do.
| NPI | 1003001579 |
| Provider Name | KEVIN LANE DO PA |
| Provider Location Address | 404 MERCER ST QUANAH, TX 79252 |
| Provider Mailing Address | PO BOX 359 QUANAH, TX 79252 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | KEVIN LANE DO |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 09-07-2007 |
| Last Update Date | 09-07-2007 |
Primary Taxonomy
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | L8579 |
| License State | TX |
| Taxonomy Description | Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Business Address
KEVIN LANE DO PA
404 MERCER ST
QUANAH, TX
ZIP 79252
Phone: (940) 663-5111
Fax: (940) 663-5899
Mailing Address
KEVIN LANE DO PA
PO BOX 359
QUANAH, TX
ZIP 79252
Phone: (940) 663-5111
Fax: (940) 663-5899
193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| E87143 | MEDICARE UPIN (02) | TX |
| 00105Y | MEDICARE OSCAR/CERTIFICATION (06) | TX |
Other Providers at the same location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619979044 | KEVIN B LANE DO Individual | Family Medicine | 404 MERCER ST QUANAH, TX 79252 (940) 663-5111 |
| 1841740990 | MRS. FARA FAYTHE GARZA MSN, RN, FNP-C Individual | Nurse Practitioner (Family) | 404 MERCER ST QUANAH, TX 79252 (940) 663-6651 |
| 1922072214 | EVA HORVATH MD Individual | Family Medicine | 404 MERCER ST QUANAH, TX 79252 (940) 663-6651 |
| 1932426772 | HARDEMAN COUNTY MEMORIAL HOSP Organization | Clinic/Center (Rural Health) | 404 MERCER ST QUANAH, TX 79252 (940) 663-6651 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
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?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.