Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Carl W Lange IV, PA

Individual provider Physician Assistant · NPI 1700200458

Mr. Carl W Lange IV, PA is a Physician Assistant in Houston, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone: (417) 967-5435
Fax: (417) 967-5503
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2014004500 (MO)

Record details

NPI number1700200458
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 14, 2014
Last updated in NPPESFebruary 14, 2014