Individual
TIMOTHY DEAN LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 CENTERVIEW DR, LITTLE ROCK, AR 72211-4349
(501) 219-8900
(501) 537-1875
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C7498
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115717001
—
AR
01
—
340010631
RAILROAD MEDICARE
AR
Enumeration date
02/17/2006
Last updated
08/17/2021
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