Individual
MR. CLINTON LEVI LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14603 EDENGLEN DR, HOUSTON, TX 77049-3810
(281) 745-0828
Mailing address
14603 EDENGLEN DR, HOUSTON, TX 77049-3810
(346) 232-2419
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
28641704
TX
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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