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Organization
DR. DAVID D. LONG M.D., P.A.
Active
Organization
DR. DAVID D. LONG M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DEAN LONG M.D. (OWNER)
(432) 714-4650
Entity
Organization
Contact information
Practice address
910 S MAIN ST, BIG SPRING, TX 79720-2928
(432) 714-4650
(432) 714-4653
Mailing address
910 S MAIN ST, BIG SPRING, TX 79720-2928
(432) 714-4650
(432) 714-4653
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
H0574
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059QP
BLUE CROSS BLUE SHIELD
TX
01
—
DE4229
RAILROAD
TX
Enumeration date
10/13/2006
Last updated
05/27/2008
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