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DR. MALLORY BRYNN LANE MD
NPI 1205778032
Student in an Organized Health Care Education/Training Program in Waxahachie, TX

Active since April 09, 2026PECOS Enrolled
2400 N INTERSTATE HIGHWAY 35 E, WAXAHACHIE, TX 75165(214) 820-0111 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mallory Brynn Lane Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MALLORY BRYNN LANE MD (NPI 1205778032) is an individual student in an organized health care education/training program in Waxahachie, Texas and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205778032
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MALLORY BRYNN LANECredential: MD
Location Address2400 N INTERSTATE HIGHWAY 35 EWaxahachie, TX 75165-5240
Mailing Address2400 N Interstate Highway 35 EWaxahachie, TX 75165-5240 · (214) 820-0111
Phone(214) 820-0111
Sole ProprietorNo
Enumeration DateApril 9, 2026
NPPES CertifiedApril 9, 2026
✔ NPI 1205778032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2400 N INTERSTATE HIGHWAY 35 E, Waxahachie, TX 75165
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mallory Brynn Lane Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY MICHELLE TEETER D.O.
Emergency Medicine
2400 N INTERSTATE HIGHWAY 35 E
WAXAHACHIE, TX 75165
Ellis County (469) 843-4000
DR. DANIELLE R FORD MD
Internal Medicine
2400 N INTERSTATE HIGHWAY 35 E
WAXAHACHIE, TX 75165
Ellis County (469) 843-4000
NICHOLAS DANIEL BAZALDUA CRNA
Nurse Anesthetist, Certified Registered
2400 N INTERSTATE HIGHWAY 35 E
WAXAHACHIE, TX 75165
Ellis County (469) 843-4000
MRS. BRITTNEY SPIEGEL MSN, AGACNP-BC
Nurse Practitioner (Acute Care)
2400 N INTERSTATE HIGHWAY 35 E
WAXAHACHIE, TX 75165
Ellis County (469) 843-4000
CHRISTIAN ROONEY MD
Student in an Organized Health Care Education/Training Program
2400 N INTERSTATE HIGHWAY 35 E
WAXAHACHIE, TX 75165
Ellis County (214) 820-0111
TARMIA MARIWA APRN
Nurse Practitioner (Acute Care)
2400 N INTERSTATE HIGHWAY 35 E
WAXAHACHIE, TX 75165
Ellis County (469) 843-4000
LINDSEY SARAH MATHEWS DO
Student in an Organized Health Care Education/Training Program
2400 N INTERSTATE HIGHWAY 35 E
WAXAHACHIE, TX 75165
Ellis County (214) 820-0111
BAYLOR MEDICAL CENTER AT WAXAHACHIE
Durable Medical Equipment & Medical Supplies
2400 N INTERSTATE HIGHWAY 35 E
WAXAHACHIE, TX 75165
Ellis County (469) 843-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Lane's NPI number?

The NPI number for Mallory Lane is 1205778032. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Where is Mallory Lane located?

Mallory Lane practices at 2400 N Interstate Highway 35 E, Waxahachie, TX 75165. The listed phone number is (214) 820-0111.

What is Mallory Lane's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mallory Lane enrolled in Medicare?

Yes. Mallory Lane is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallory Lane was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.