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Individual

ABEL R LONGORIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 MEDIC LN, ALVIN, TX 77511-5542
(281) 331-6141
(281) 331-3316
Mailing address
PO BOX 200993, HOUSTON, TX 77216-0993
(281) 784-1111
(281) 784-1555

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K6108
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1114903390
TRICARE SOUTH
TX
05
113688904
TX
05
113688905
TX
01
8Z0618
BCBSTX PROV NO
TX
Enumeration date
12/19/2005
Last updated
11/24/2010
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