Bob Lanier MD PA

NPI #1417220864 in Benbrook, Texas

Provider Information

NPI Number: 1417220864
Entity Type: Organization
Organization Name: Bob Lanier MD PA
Subpart: Yes (part of a larger organization)
Parent Organization: BOB LANIER MD PA
Primary Specialty: Allergy & Immunology
Enumeration Date: Feb 15, 2012
Last Updated: Feb 15, 2012

Practice Location

Address: 6407 SOUTHWEST BLVD
City: Benbrook
State: Texas
ZIP Code: 76132-2777
Phone: (817) 731-9198

Authorized Official

Name: MR. BOB Q LANIER, MD
Title: OWNER
Phone: (817) 731-9198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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