TIMOTHY PARKER LONG

BEAUMONT, TX
NPI1992111975
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  30056)
Enumeration Date2014-07-10
Last Update Date2014-07-10
Business Address
-- TIMOTHY PARKER LONG
6830 PHELAN BLVD
BEAUMONT, TX 77706-5970
Phone number: 409-860-9600
Mailing Address
-- TIMOTHY PARKER LONG
1550 KATY GAP RD #3402
KATY, TX 77494-4353
Phone number: 281-793-8735