Provider Demographics
NPI:1265704118
Name:LANGSTON, JULIA (DC)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:LANGSTON
Suffix:
Gender:F
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:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:GLENCOE
Mailing Address - State:AR
Mailing Address - Zip Code:72539-0072
Mailing Address - Country:US
Mailing Address - Phone:870-710-1289
Mailing Address - Fax:
Practice Address - Street 1:7263 HIGHWAY 62 E
Practice Address - Street 2:
Practice Address - City:GLENCOE
Practice Address - State:AR
Practice Address - Zip Code:72539-9401
Practice Address - Country:US
Practice Address - Phone:870-895-3133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR15925111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor