Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 4658 | OK |
NPI | 1831352723 |
---|---|
Provider Name | Dr. Jean-Maria Christina Langley |
First Address | Tulsa, OK 74133-5708 |
Second Address | Tulsa, OK 74133-5708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 29/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
20020660B | (05) | OK |