Provider Demographics
NPI:1063627453
Name:DR. FRANCIS LANSANG MD PA
Entity type:Organization
Organization Name:DR. FRANCIS LANSANG MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:LANSANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-318-7381
Mailing Address - Street 1:6 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3709
Mailing Address - Country:US
Mailing Address - Phone:281-318-7387
Mailing Address - Fax:281-318-7379
Practice Address - Street 1:6 N MAIN ST
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3709
Practice Address - Country:US
Practice Address - Phone:281-318-7387
Practice Address - Fax:281-318-7379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4999261QP2300X
207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX186056101Medicaid
TX8F5234Medicare UPIN