Provider Demographics
NPI:1821779554
Name:LANGS, BENJAMIN ARTHUR JR
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:ARTHUR
Last Name:LANGS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 PARK PL
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-6934
Mailing Address - Country:US
Mailing Address - Phone:405-625-0334
Mailing Address - Fax:
Practice Address - Street 1:100 PARK PL
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-6934
Practice Address - Country:US
Practice Address - Phone:405-625-0334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK193400000X171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor