Active NPI
Charles G. Langham III, M.D., P.a.
- Obstetrics & Gynecology Physician
- Fort Worth, TX
National Provider Identifier
1093965451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- E4467
- Legal business name
- CHARLES G. LANGHAM III, M.D., P.A.
- Practice address
- 1307 8TH Ave
201
Fort Worth, TX 76104-4137 - Phone
- (817) 921-6091
- Fax
- (817) 921-9163
- NPI assigned
- Sep 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles G. Langham III, M.D., P.A.
- Title
- Physician
- Phone
- (817) 921-6091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | E4467 | TX | Primary |
Addresses
Primary practice location
1307 8TH Ave
201
Fort Worth, TX 76104-4137
Mailing address
1307 8TH Ave
201
Fort Worth, TX 76104-4137
Phone (817) 921-6091
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912092743 | Other | TX | NPI |
| 123419702 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1093965451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 8TH AVE",
"address_2": "201",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044137",
"telephone_number": "817-921-6091",
"fax_number": "817-921-9163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 8TH AVE",
"address_2": "201",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044137",
"telephone_number": "817-921-6091",
"fax_number": "817-921-9163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES G. LANGHAM III, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "LANGHAM",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "817-921-6091",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D., P.A."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "E4467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1912092743",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123419702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.