Charles Fred Lang JR., LMT

NPI #1558697219 in Bryan, Texas

Provider Information

NPI Number: 1558697219
Entity Type: Individual
Name: Charles Fred Lang JR., LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 29, 2009
Last Updated: Nov 23, 2009

Practice Location

Address: 4410 COLONY CHASE DR
City: Bryan
State: Texas
ZIP Code: 77808-7838
Phone: (832) 283-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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