Individual
DANE LANGSJOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 HILLCREST MEDICAL BLVD FL 3, WACO, TX 76712-8948
(254) 202-4000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q0095
TX
207RC0000X
Cardiovascular Disease Physician
Primary
Q0095
TX
Other
Enumeration date
04/12/2012
Last updated
09/30/2020
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