| Clark Wynn Langley, MD | |
|
1718 S Henderson Blvd, #8, Kilgore, TX 75662-3566 | |
| (903) 983-2110 | |
| Not Available |
| Full Name | Clark Wynn Langley |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1718 S Henderson Blvd, Kilgore, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760456792 | NPI | - | NPPES |
| 145221103 | Medicaid | TX | |
| TIN PLUS 093 | Other | TX | TRICARE |
| 145221101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L1919 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Wynn Langley, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Clark Wynn Langley, MD 1718 S Henderson Blvd, #8, Kilgore, TX 75662-3566 Ph: (903) 983-2110 |
Jason Kelly Brockway, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 | |
Kimberly Nicole Page, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 | |
Justin Levon Du, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 | |
John K. Wolcott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5174 Fm 1252 W, Kilgore, TX 75662 Phone: 903-986-1901 Fax: 903-984-6151 | |
Mark Douglas Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 | |
Dr. James E Repasky, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1718 S Henderson Blvd, #7, Kilgore, TX 75662 Phone: 903-983-2110 |