# DONALD P. LONG, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144551540
- **Authorized official:** DR. DONALD PAUL LONG SR. M.D. (PHYSICIAN)
- **Authorized official phone:** (409) 983-1066

## Contact information

- **Practice address:** 4640 9TH AVE STE 101, PORT ARTHUR, TX 77642-5820
- **Practice address phone:** (409) 983-1066
- **Practice address fax:** (409) 983-7272
- **Mailing address:** 4640 9TH AVE STE 101, PORT ARTHUR, TX 77642-5820
- **Mailing address phone:** (409) 983-1066
- **Mailing address fax:** (409) 983-7272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2010
- **Last updated:** 01/25/2010