MEDICARE: ANGELICA LANGHAGEN-WILLIAMS

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1629839485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA LANGHAGEN-WILLIAMS

Provider Business Mailing Address
First Line	:	2350 BAGBY ST APT 2306
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-1688
Country	:	US
Telephone Number	:	916-470-7155
Fax Number	:

Provider Business Practice Location Address
First Line	:	2350 BAGBY ST
Second Line	:	APT 2306
City	:	HOUSTON
State	:	TX
Zip	:	77006-1688
Country	:	US
Telephone Number	:	916-470-7155
Fax Number	:

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

Provider Enumeration Date	:	01/18/2024
Last Update Date	:	01/18/2024

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