CLARK WYNN LANGLEY MD
NPI 1760456792
Family Medicine in Kilgore, TX

Active since February 15, 2006Opted out of Medicare · through Apr 1, 2028
1718 S HENDERSON BLVD, #8, KILGORE, TX 75662(903) 983-2110 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clark Wynn Langley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARK WYNN LANGLEY MD (NPI 1760456792) is an individual family medicine provider in Kilgore, Texas, licensed in Texas (L1919) and active in the NPI registry since February 2006. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1760456792
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLARK WYNN LANGLEYCredential: MD
Location Address1718 S HENDERSON BLVD, #8Kilgore, TX 75662-3566
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6450
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateOctober 13, 2014
NPI 1760456792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · L1919
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1718 S HENDERSON BLVD, Kilgore, TX 75662

Other Identifiers 8

Medicare UPINH44300
Medicare OSCAR/certification8K5036TX
Medicare PIN080174505TX
Medicare ID-Type Unspecified8438N0TX
Medicaid145221101TX
Medicare OSCAR/certification8438N0TX
OtherTIN PLUS 093TX · Tricare
Medicaid145221103TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Clark Wynn Langley Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2020 through April 1, 2028.

Opt-Out Effective DateApril 1, 2020
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662
Nurse Practitioner (Family)
1718 S HENDERSON BLVD
KILGORE, TX 75662
Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662
Nurse Practitioner (Family)
1718 S HENDERSON BLVD
KILGORE, TX 75662
Nurse Practitioner (Family)
1718 S HENDERSON BLVD
KILGORE, TX 75662
Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662
Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662
Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Langley's NPI number?

The NPI number for Clark Langley is 1760456792. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Clark Langley located?

Clark Langley practices at 1718 S Henderson Blvd #8, Kilgore, TX 75662. The listed phone number is (903) 983-2110.

What is Clark Langley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Clark Langley enrolled in Medicare?

No. Clark Langley has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Clark Langley was last updated on October 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.