Organization
DONALD P. LONG, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD PAUL LONG SR. M.D. (PHYSICIAN)
(409) 983-1066
Entity
Organization
Contact information
Practice address
4640 9TH AVE STE 101, PORT ARTHUR, TX 77642-5820
(409) 983-1066
(409) 983-7272
Mailing address
4640 9TH AVE STE 101, PORT ARTHUR, TX 77642-5820
(409) 983-1066
(409) 983-7272
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097631801
—
TX
Enumeration date
01/25/2010
Last updated
01/25/2010
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