Healthcare Provider Details

I. General information

NPI: 1225497019
Provider Name (Legal Business Name): LANGLEY HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2016
Last Update Date: 02/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9840 E 81ST ST SUITE 200
TULSA OK
74133-4582
US

IV. Provider business mailing address

10010 E 81ST ST
TULSA OK
74133-4556
US

V. Phone/Fax

Practice location:
  • Phone: 918-872-8447
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BROOKE LYNN BILLS
Title or Position: CEO
Credential: MBA
Phone: 918-893-9240