Individual
SAMUEL EVERETTE LONG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 TRINITY ST, AUSTIN, TX 78712-1765
(833) 882-2737
Mailing address
1601 TRINITY ST, AUSTIN, TX 78712-1765
(833) 882-2737
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q9853
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402015801
—
TX
05
—
402015802
—
TX
Enumeration date
05/30/2013
Last updated
07/15/2026
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