MEDICARE: AMY R LANGSTON APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1113073	TX

General Provider Information

NPI Number	:	1265134993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY R LANGSTON APRN

Provider Business Mailing Address
First Line	:	19 BRIAR HOLLOW LN STE 120
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-2827
Country	:	US
Telephone Number	:	832-245-4849
Fax Number	:	862-265-1653

Provider Business Practice Location Address
First Line	:	19 BRIAR HOLLOW LN STE 120
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-2827
Country	:	US
Telephone Number	:	832-245-4849
Fax Number	:	862-265-1653

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	06/14/2026

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Directions to “ AMY R LANGSTON APRN” Practice Location

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