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Individual

MR. GREGG A. LANGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
16020 PARK VALLEY DR, ROUND ROCK, TX 78681-3573
(512) 244-0766
(512) 244-1013
Mailing address
8600 RANCH ROAD 620 N APT 2321, AUSTIN, TX 78726-3568
(512) 345-5925

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00912
TX

Other

Enumeration date
08/23/2006
Last updated
07/08/2007
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