Provider Demographics
NPI:1134017361
Name:DR. BRENAN S. LANGLEY, D.C., PLLC
Entity type:Organization
Organization Name:DR. BRENAN S. LANGLEY, D.C., PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LANGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-224-5498
Mailing Address - Street 1:102 S MEYER ST
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-5686
Mailing Address - Country:US
Mailing Address - Phone:512-268-2273
Mailing Address - Fax:800-807-8174
Practice Address - Street 1:102 S MEYER ST
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-5686
Practice Address - Country:US
Practice Address - Phone:512-268-2273
Practice Address - Fax:800-807-8174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty