Individual
ANNE-MARIE LANGEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 743-2300
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 743-2300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
J0984
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
J0984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103043901
—
TX
01
—
827731
MEDICARE PTAN
TX
Enumeration date
08/24/2006
Last updated
10/30/2024
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