| Langston University | |
|
1233 Highway 33 East C.f. Gayles Fieldhouse Room 161 Langston OK 73050 | |
| (405) 466-2961 | |
| Not Available |
| Full Name | Langston University |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1233 Highway 33 East, Langston, Oklahoma |
| Authorized Official Name and Position | Brett Waldon (HEAD ATHLETIC TRAINER) |
| Authorized Official Contact | 4054662961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Langston University Po Box 819020 Dallas TX 75381-9020 Ph: () - | Langston University 1233 Highway 33 East C.f. Gayles Fieldhouse Room 161 Langston OK 73050 Ph: (405) 466-2961 |
| NPI Number | 1063706406 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 06/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063706406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Mary Mahoney Health Center At Langston Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Martin L. King, Langston, OK 73050 Phone: 405-466-2535 Fax: 405-466-2554 |