Organization
LANGSTON UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT WALDON ATC (HEAD ATHLETIC TRAINER)
(405) 466-2961
Entity
Organization
Contact information
Practice address
1233 HIGHWAY 33 EAST, C.F. GAYLES FIELDHOUSE ROOM 161, LANGSTON, OK 73050
(405) 466-2961
Mailing address
PO BOX 819020, DALLAS, TX 75381-9020
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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