BOBBY QUENTIN LANIER MD

Allergy and Immunology

Benbrook, Texas

Provider NPI: 1114984259

Provider Information:
 BOBBY QUENTIN LANIER MD


Practice Location:
6310 SOUTHWEST BLVD SUITE 200 BENBROOK, TX 76109 US
Tel: 817-731-9198  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	TX	D7140

Other Provider Identifiers:

Issuer	Number	State	Type
CIGNA PROVIDER #	1058861004	TX	01
AETNA PROVIDER #	4341067	TX	01
BC/BS PROVIDER #	00L511	TX	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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