Provider Demographics
NPI:1831352723
Name:LANGLEY, JEAN-MARIA CHRISTINA (DO)
Entity type:Individual
Prefix:DR
First Name:JEAN-MARIA
Middle Name:CHRISTINA
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9001 S 101ST EAST AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5708
Mailing Address - Country:US
Mailing Address - Phone:918-459-8824
Mailing Address - Fax:918-307-2239
Practice Address - Street 1:9001 S 101ST EAST AVE
Practice Address - Street 2:SUITE 280
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5708
Practice Address - Country:US
Practice Address - Phone:918-459-8824
Practice Address - Fax:918-307-2239
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4658207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK20020660BMedicaid
OKOKA105175Medicare PIN