Individual
JESSICA TERESA LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7200 WYOMING SPGS, 1300, ROUND ROCK, TX 78681-4303
(512) 244-2273
(512) 671-7883
Mailing address
PO BOX 10597, AUSTIN, TX 78766-1597
(512) 485-5878
(512) 420-0397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05454
TX
Other
Enumeration date
01/18/2008
Last updated
10/28/2014
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