IndividualActive
Bennie Lane, MD
NPI 1265464366 · Vascular Surgery Physician · Dallas, TX
Provider details
- NPI number
- 1265464366
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- D4190 (TX)
Practice location
7777 Forest Lane
#a 214
Dallas, TX 75230-0000
Phone: (972) 566-7860
Fax: (972) 566-6673
Mailing address
7777 Forest Lane
Dallas, TX 75230-0000
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2008-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.