LONG CUU CONG TA

DALLAS, TX
NPI1922345727
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  744105)
Enumeration Date2013-01-14
Last Update Date2013-01-14
Business Address
-- LONG CUU CONG TA CRNA
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 512-466-0836
Mailing Address
-- LONG CUU CONG TA CRNA
1413 VANDERBILT ST E APT 707
FORT WORTH, TX 76120-4942
Phone number: 512-466-0836
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