Bobby Lane, LMT, RN is a
Massage Therapist based in Dallas, Texas. Bobby Lane is licensed to practice in Texas (license number MT029279) and his current practice location is
7832 Royal Ln Apt 112, Dallas, Texas. He can be reached at his office (for appointments etc.) via phone at
(214) 998-5085.
NPI number for Bobby Lane is 1124718556 and his current mailing address is 7832 Royal Ln Apt 112, Dallas, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124718556.
Provider's Profile
| Full Name | Bobby Lane |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
|---|
| Location | 7832 Royal Ln Apt 112, Dallas, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124718556
- Provider Enumeration Date: 05/09/2023
- Last Update Date: 05/09/2023
Medical Identifiers
Medical identifiers for Bobby Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124718556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 883861 (Texas) | Secondary |
| 163WM1400X | Registered Nurse - Nurse Massage Therapist (nmt) | MT029279 (Texas) | Secondary |
| 171400000X | Health & Wellness Coach | NA (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | MT029279 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bobby Lane is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bobby Lane, LMT, RN
7832 Royal Ln Apt 112,
Dallas, TX 75230-3724
Ph: (214) 998-5085 | Bobby Lane, LMT, RN
7832 Royal Ln Apt 112,
Dallas, TX 75230-3724
Ph: (214) 998-5085 |
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