Larry Long PA-C

NPI 1720040652 - Physician Assistant - 363A00000X

NPI Details
NPI 1720040652
Gender Male
Enumeration Date 04/05/2006
Last Updated 06/02/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
9305 PINECROFT DR
SUITE 101
THE WOODLANDS TX, 77380-3482, US
Phone (713) 897-7500
Fax
Business Location
909 FROSTWOOD DR
SUITE 1.100
HOUSTON TX, 77024-2301, US
Phone (713) 338-4523
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA05436
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According to our database, Mr. Larry Long PA-C NPI is 1720040652, taxonomy code is 363A00000X and license number is PA05436, license state is located at Texas. Larry Long PA-C physically located at 9305 Pinecroft Dr, The Woodlands TX, 77380-3482. NPI Number Larry Long PA-C has the Individual type.

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1720040652 NPI number is provided on an as is basis without warranty of any kind. 1720040652 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Long PA-C are for informational purposes only.