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Individual

CHRISTOPHER JASON LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1507 W MAIN ST, GATESVILLE, TX 76528-1024
(254) 865-8251
(254) 248-6306
Mailing address
1507 W MAIN ST, GATESVILLE, TX 76528-1024
(254) 865-8251
(254) 248-6306

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S5973
TX
207Q00000X
Family Medicine Physician
S5973
TX

Other

Enumeration date
03/01/2018
Last updated
04/23/2024
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