MEDICARE: DR. CATHERINE J LANGSTON DO

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	207P00000X	Emergency Medicine Physician	N-8357	AR
2	207P00000X	Emergency Medicine Physician	N8357	AR
3	207P00000X	Emergency Medicine Physician	02004363A	IN
4	207P00000X	Emergency Medicine Physician	323527	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5J153	OTHER		AR BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376623744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE J LANGSTON DO

Provider Business Mailing Address
First Line	:	200 CORPORATE BLVD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-3870
Country	:	US
Telephone Number	:	800-893-9698
Fax Number	:

Provider Business Practice Location Address
First Line	:	2531 VIKING DR
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-2103
Country	:	US
Telephone Number	:	318-681-7000
Fax Number	:

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	06/11/2024

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