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Individual

DR. DAVID W LONGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6417 CENTRAL PARK BLVD, ABILENE, TX 79606-5884
(325) 695-6370
(325) 692-6595
Mailing address
6417 CENTRAL PARK BLVD, ABILENE, TX 79606-5884
(325) 695-6370
(325) 692-6595

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K7803
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
080960002
TX
01
118063100
FIRST CARE
TX
05
141992101
TX
01
87265G
BLUE CROSS BLUE SHIELD
Enumeration date
06/21/2005
Last updated
03/30/2019
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