NPI | 1962928440 |
---|---|
Doing Business As | LONG & HARRIS DERMATOLOGY PLLC |
Entity Type | Organization |
Authorized Contact | MICHAEL DAVID LONG Authorized Official/Owner 806-787-9111 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2017-08-16 |
Last Update Date | 2022-07-21 |