MICHAEL LONG

SAN ANTONIO, TX
NPI1124608930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1036820)
Enumeration Date2021-04-14
Last Update Date2021-05-06
Business Address
MICHAEL LONG RN
9330 ARDEN BND
SAN ANTONIO, TX 78250-2710
Phone number: 210-200-9864
Mailing Address
MICHAEL LONG RN
9330 ARDEN BND
SAN ANTONIO, TX 78250-2710
Phone number:
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