Provider Demographics
NPI:1588771257
Name:LANE, FRANK ELMER (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ELMER
Last Name:LANE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9533 LOSA DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-3573
Mailing Address - Country:US
Mailing Address - Phone:214-328-8093
Mailing Address - Fax:214-328-4618
Practice Address - Street 1:9533 LOSA DR
Practice Address - Street 2:SUITE 3
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-3573
Practice Address - Country:US
Practice Address - Phone:214-328-8093
Practice Address - Fax:214-328-4618
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG35412084P0800X, 2084P0802X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00A96BMedicare ID - Type Unspecified
C18136Medicare UPIN