Doctor Name: | MRS. BARBARA VIBRANS LANGTHORN |
NPI Number: | 1982769709 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICIAN ASSISTANT |
License Number: | PA 948 |
Business Practice Address: | 5700 Arnold St Flight Medicine Tinker Afb, OK - 731458105 |
Business Phone Number: | 4057362820 |
Business Fax Number: | 4057362677 |
Mailing Address: | 12222 Ne 234th St, ARCADIA |
State: | OK |
Postal Code: | 730079011 |
Phone Number: | 4053968594 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2006 |
NPI Last Update Date: | 02/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA 948 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |