Individual
MR. JEREMY LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2343 W LUCAS DR, BEAUMONT, TX 77706-2826
(409) 351-0015
Mailing address
2343 W LUCAS DR, BEAUMONT, TX 77706-2826
(409) 351-0015
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
TX
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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