MEDICARE: LANGHAM CHIROPRACTIC ENTERPRISES, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	9023	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0025KZ	OTHER	TX	BCBS GROUP NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609992494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANGHAM CHIROPRACTIC ENTERPRISES, PA

Provider Business Mailing Address
First Line	:	7630 N BEACH ST
Second Line	:	SUITE 160
City	:	FORT WORTH
State	:	TX
Zip	:	76137-1299
Country	:	US
Telephone Number	:	817-281-5556
Fax Number	:	817-281-5520

Provider Business Practice Location Address
First Line	:	7630 N BEACH ST
Second Line	:	SUITE 160
City	:	FORT WORTH
State	:	TX
Zip	:	76137-1299
Country	:	US
Telephone Number	:	817-281-5556
Fax Number	:	817-281-5520

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. APRIL C LANGHAM
Credential	:	DC
Telephone Number	:	817-281-5556

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	12/18/2012

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Directions to “LANGHAM CHIROPRACTIC ENTERPRISES, PA ” Practice Location

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