Provider Demographics
NPI:1629839485
Name:LANGHAGEN-WILLIAMS, ANGELICA
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:
Last Name:LANGHAGEN-WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 BAGBY ST APT 2306
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-1688
Mailing Address - Country:US
Mailing Address - Phone:916-470-7155
Mailing Address - Fax:
Practice Address - Street 1:2350 BAGBY ST
Practice Address - Street 2:APT 2306
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-1688
Practice Address - Country:US
Practice Address - Phone:916-470-7155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator