Individual
ANDREW NATHAN LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4039
Mailing address
PO BOX 2603, FORT WORTH, TX 76113-2603
(817) 702-2450
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP135775
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
803981
RN LICENSE
TX
01
—
AP135775
LICENSE
TX
Enumeration date
11/13/2017
Last updated
01/25/2023
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