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Organization
LONG HEALTH FAMILY PRACTICE, LLC
Active
Organization
LONG HEALTH FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE LONG NP (OWNER)
(361) 935-9250
Entity
Organization
Contact information
Practice address
2710 HOSPITAL DR, SUITE 108, VICTORIA, TX 77901-5701
(361) 579-1319
(361) 579-1317
Mailing address
PO BOX 5099, VICTORIA, TX 77903-5099
(361) 579-1319
(361) 579-1317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
595695
TX
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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