Provider Demographics
NPI:1962821074
Name:LANGLEY, SONJA (MD)
Entity Type:Individual
Prefix:DR
First Name:SONJA
Middle Name:
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SONJA
Other - Middle Name:
Other - Last Name:STARNES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1002 NE HIGHWAY 66 STE 3
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:OK
Mailing Address - Zip Code:73662-9312
Mailing Address - Country:US
Mailing Address - Phone:580-210-1565
Mailing Address - Fax:580-200-3035
Practice Address - Street 1:1002 NE HIGHWAY 66 STE 2
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:OK
Practice Address - Zip Code:73662-9312
Practice Address - Country:US
Practice Address - Phone:580-928-2208
Practice Address - Fax:580-928-2246
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK32366207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200706700AOtherSOONERCARE PROVIDER ID