Organization
PETER H LANGSJOEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER HARALD LANGSJOEN MD (OWNER)
(903) 595-3778
Entity
Organization
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
174400000X
Specialist
Primary
F6857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103699-01
—
TX
Enumeration date
01/25/2010
Last updated
01/25/2010
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