Langford, Tandra Love
Langford, Tandra Love is an individual health care provider with primary practice located at 5950 Bryant Irvin Rd #100, Fort Worth TX 76132-4210. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Langford, Tandra Love can be contacted via phone (817) 294-4646.Contact Information
Primary practice address
5950 Bryant Irvin Rd #100
Fort Worth TX 76132-4210
Phone: (817) 294-4646
Fax: (817) 294-4649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1136232 | Texas |
Profile Details
| NPI number | 1962494104 |
|---|---|
| LBN Legal business name | Langford, Tandra Love |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jan 21st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962494104 | NPPES |
| Texas | MEDICAID | 062865301 | |
| Texas | Other | 8T0363 |
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