# TERESA LONGORIA MD LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1518091107
- **Authorized official:** DR. TERESA LONGORIA MD (OWNER PRESIDENT)
- **Authorized official phone:** (520) 325-6633

## Contact information

- **Practice address:** 2102 N COUNTRY CLUB RD, SUITE 4, TUCSON, AZ 85716-2831
- **Practice address phone:** (520) 325-6633
- **Practice address fax:** (520) 325-6644
- **Mailing address:** 2102 N COUNTRY CLUB RD, SUITE 4, TUCSON, AZ 85716-2831
- **Mailing address phone:** (520) 325-6633
- **Mailing address fax:** (520) 325-6644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 18725 | AZ | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 04/20/2008