Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP126184 | TX |
NPI | 1003273731 |
---|---|
Provider Name | Luchia Marie Langley |
First Address | Houston, TX 77042-1914 |
Second Address | Cypress, TX 77433-0190 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2016 |
Last Update Date | 17/03/2018 |