Provider Demographics
NPI:1073663985
Name:LANE, GINGER (PAC)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:
Last Name:LANE
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5501 CABRERA DR STE 301
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-7261
Mailing Address - Country:US
Mailing Address - Phone:281-654-8305
Mailing Address - Fax:281-534-5720
Practice Address - Street 1:5501 CABRERA DR STE 301
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7261
Practice Address - Country:US
Practice Address - Phone:281-654-8305
Practice Address - Fax:281-534-5720
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA19062363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant