Healthcare Provider Details

I. General information

NPI: 1265644108
Provider Name (Legal Business Name): GINGER LANGLEY PHARMD, BCNSP, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 HOLCOMBE BLVD UNIT 377
HOUSTON TX
77030-4009
US

IV. Provider business mailing address

1515 HOLCOMBE BLVD UNIT 377
HOUSTON TX
77030-4009
US

V. Phone/Fax

Practice location:
  • Phone: 713-563-9939
  • Fax: 713-794-4399
Mailing address:
  • Phone: 713-563-9939
  • Fax: 713-794-4399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number38417
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: