Tannhya Lane is one of 1,896 nurse practitioners practicing in Dallas, Texas .
Tannhya Lane practices with Form Health Associates Ma, P.C.
Registry record (NPPES)
NPI
1578142857
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
325 N Saint Paul St Ste 3100
Enumerated
Apr 5, 2021
Record last updated
May 19, 2026
License states listed
NC, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in NC, TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
325 N Saint Paul St Suite 3100Dallas , TX 75201
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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