MEDICARE: DR. APRIL C LANGHAM D.C.

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	8K9200	OTHER	TX	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1942225677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. APRIL C LANGHAM D.C.

Provider Business Mailing Address
First Line	:	7630 N BEACH ST
Second Line	:	STE 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	:	STE 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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	04/09/2008

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