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CLARK WYNN LANGLEY MD NPI 1760456792


NPI Information

NPI: 1760456792
Provider Name: CLARK WYNN LANGLEY, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1718 S HENDERSON BLVD
#8
KILGORE, TX
ZIP 75662
Phone: (903) 983-2110
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Clark Wynn Langley, MD is a family medicine in Kilgore, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Clark Wynn Langley, MD NPI is 1760456792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1718 S HENDERSON BLVD
#8
KILGORE, TX
ZIP 75662-566
Phone: (903) 983-2110

The enumeration date for this NPI number is 2/15/2006 and was last updated on 10/13/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineL1919TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H44300MEDICARE UPIN
28K5036MEDICARE OSCAR/CERTIFICATIONTEXAS
3080174505MEDICARE PINTEXAS
48438N0MEDICARE ID-TYPE UNSPECIFIEDTEXAS
5145221101MEDICAIDTEXAS
68438N0MEDICARE OSCAR/CERTIFICATIONTEXAS
7TIN PLUS 093OTHERTEXASTRICARE
8145221103MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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