Langston Chiropractic Clinic ,pc | |
4503 S Harvard Ave, Tulsa, OK 74135-2905 | |
(918) 747-5555 | |
(918) 747-1028 |
Full Name | Langston Chiropractic Clinic ,pc |
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Type | Facility |
Speciality | Chiropractor - Internist |
Location | 4503 S Harvard Ave, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003050949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NI0900X | Chiropractor - Internist | 2112 (Oklahoma) | Primary |
Provider Name | Gerry D Langston |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1578655502 PECOS PAC ID: 5698823771 Enrollment ID: I20090429000216 |
Mailing Address | Practice Location Address |
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Langston Chiropractic Clinic ,pc 4503 South Harvard, Tulsa, OK 74135-2905 Ph: (918) 747-5555 | Langston Chiropractic Clinic ,pc 4503 S Harvard Ave, Tulsa, OK 74135-2905 Ph: (918) 747-5555 |
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