MICHAEL S LONG LLC

SAN ANTONIO, TX
NPI1407436223
Entity TypeOrganization
Authorized ContactMICHAEL LONG
Owner
210-200-9864
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2021-04-14
Last Update Date2021-04-14
Business Address
MICHAEL S LONG LLC
9330 ARDEN BND
SAN ANTONIO, TX 78250-2710
Phone number: 210-200-9864
Mailing Address
MICHAEL S LONG LLC
9330 ARDEN BND
SAN ANTONIO, TX 78250-2710
Phone number: