CLINTON LEVI LONG

HOUSTON, TX
NPI1104402890
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: TX  28641704)
Enumeration Date2021-03-22
Last Update Date2021-03-22
Business Address
Mr. CLINTON LEVI LONG
14603 EDENGLEN DR
HOUSTON, TX 77049-3810
Phone number: 281-745-0828
Mailing Address
Mr. CLINTON LEVI LONG
14603 EDENGLEN DR
HOUSTON, TX 77049-3810
Phone number: 346-232-2419