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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962494104 NPPES
Texas MEDICAID 062865301
Texas Other 8T0363

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