Langston University
Organization Active NPI Student Health Clinic/Center · Langston, OK
NPI 1063706406 · NPPES record last updated Jun 2, 2011
Key facts
- NPI
- 1063706406
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Student Health Clinic/Center 261QS1000X
- Legal business name
- LANGSTON UNIVERSITY
- Practice address
- 1233 Highway 33 East
C.F. Gayles Fieldhouse Room 161
Langston, OK 73050 - Phone
- (405) 466-2961
- NPI assigned
- Jun 2, 2011
- Organization subpart
- No
Authorized official
- Name
- Brett Waldon, ATC
- Title
- Head Athletic Trainer
- Phone
- (405) 466-2961
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Sallisaw State Veterans Home
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | Yes |
Addresses
Primary practice location
1233 Highway 33 East
C.F. Gayles Fieldhouse Room 161
Langston, OK 73050
Mailing address
PO Box 819020
Dallas, TX 75381-9020
Other providers in Langston, OK
- Aleah Rachel Fine
- Franks
- Akesha L Franks
- Angela Glander
- Tina Michelle Gray
- Sylvia Love
- William McCulloh
- Jameerah Sherell Phillips
- Nekia Shawntelle Pride
- Johnson W Sanford
All providers in Langston, OK · Student Health Clinic/Center in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.