These two overlap with US-81 near Ninnekah, but SH-19 splits off to the east once again within 3 miles (4.8 km).

After splitting off, SH-19 travels in a southeast direction to have a brief concurrency with State Highway 76 through Lindsay.

10 miles (16 km) later it intersects with State Highway 74 at a four-way stop in Maysville.

Still continuing southeast, 10 miles (16 km) later it has an interchange with Interstate 35 and an intersection with U.S. Highway 77 in Pauls Valley.

After passing through the Pauls Valley area, SH-19 crosses U.S. Highway 177 west of Stratford, Oklahoma.