Individual
PETER HARALD LANGSJOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1107 DOCTORS DR, TYLER, TX 75701-2124
(903) 595-3778
(903) 595-4962
Mailing address
1107 DOCTORS DR, TYLER, TX 75701-2124
(903) 595-3778
(903) 595-4962
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F6857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060010531
TRICARE
—
01
—
060066132
RR MEDICARE
—
05
—
110369901
—
TX
Enumeration date
09/16/2005
Last updated
10/19/2007
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