Provider Demographics
NPI:1376720086
Name:MARC LANGAS DC PA
Entity Type:Organization
Organization Name:MARC LANGAS DC PA
Other - Org Name:LANGAS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:LANGAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:903-534-9800
Mailing Address - Street 1:1225 WSW LOOP 323
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-1708
Mailing Address - Country:US
Mailing Address - Phone:903-534-9800
Mailing Address - Fax:903-534-9816
Practice Address - Street 1:1225 WSW LOOP 323
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-1703
Practice Address - Country:US
Practice Address - Phone:903-534-9800
Practice Address - Fax:903-534-9816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7915111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8D3513OtherMEDICARE PROVIDER #
DC1426OtherRAILROAD MEDICARE
P00210582OtherRAILROAD MEDICARE
DC1426OtherRAILROAD MEDICARE