Organization
CHARLES G. LANGHAM III, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES G. LANGHAM III M.D., P.A. (PHYSICIAN)
(817) 921-6091
Entity
Organization
Contact information
Practice address
1307 8TH AVE, 201, FORT WORTH, TX 76104-4137
(817) 921-6091
(817) 921-9163
Mailing address
1307 8TH AVE, 201, FORT WORTH, TX 76104-4137
(817) 921-6091
(817) 921-9163
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E4467
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123419702
—
TX
01
—
1912092743
NPI
TX
Enumeration date
09/23/2008
Last updated
09/23/2008
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