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1720040652
LARRY LONG
THE WOODLANDS, TX
NPI
1720040652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA05436)
Enumeration Date
2006-04-05
Last Update Date
2015-06-02
Business Address
Mr. LARRY LONG PA-C
9305 PINECROFT DR SUITE 101
THE WOODLANDS, TX 77380-3482
Phone number: 713-897-7500
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Mailing Address
Mr. LARRY LONG PA-C
909 FROSTWOOD DR SUITE 1.100
HOUSTON, TX 77024-2301
Phone number: 713-338-4523
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