Provider Demographics
NPI:1508901703
Name:LANGAS, MARC EDWARD (DC)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:EDWARD
Last Name:LANGAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
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
Practice Address - Country:US
Practice Address - Phone:903-534-9800
Practice Address - Fax:903-534-9816
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7915111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00210582OtherRAILROAD MEDICARE
DC1426OtherRAILROAD MEDICARE
8D3513Medicare ID - Type UnspecifiedPROVIDER NUMBER
P00210582OtherRAILROAD MEDICARE