Individual
DR. BRIAN MCKINLEY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 LEGACY DR STE 215, PLANO, TX 75024-3181
(972) 494-3100
(972) 608-0005
Mailing address
5000 LEGACY DR STE 200, PLANO, TX 75024-3373
(972) 494-3100
(972) 608-0005
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L1374
TX
208600000X
Surgery Physician
MD036212
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521467441
JHCP TAX ID
—
Enumeration date
10/31/2005
Last updated
04/08/2025
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