Provider Demographics
NPI:1881917755
Name:KARL J LANGKAMP D O P C
Entity type:Organization
Organization Name:KARL J LANGKAMP D O P C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:F
Authorized Official - Last Name:LANGKAMP
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-366-1777
Mailing Address - Street 1:PO BOX 5908
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-5908
Mailing Address - Country:US
Mailing Address - Phone:405-366-1777
Mailing Address - Fax:405-360-0238
Practice Address - Street 1:500 E ROBINSON ST
Practice Address - Street 2:SUITE #1500
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6697
Practice Address - Country:US
Practice Address - Phone:405-366-1777
Practice Address - Fax:405-360-0238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3233261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care