Individual
CLINTON ARVIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2203 N FM 1417, SHERMAN, TX 75092-2351
(903) 892-2020
(903) 892-0633
Mailing address
2203 N FM 1417, SHERMAN, TX 75092-2351
(903) 892-2020
(903) 892-0633
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K5338
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142713002
—
TX
01
—
180045779
RAILROAD MEDICARE
TX
01
—
7057235
AETNA
TX
01
—
8G9440
BCBS OF TEXAS
TX
Enumeration date
12/08/2006
Last updated
04/24/2012
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