Individual
DIANA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11320 DONKEY FLT, HELOTES, TX 78023-4687
(717) 725-9942
Mailing address
11320 DONKEY FLT, HELOTES, TX 78023-4687
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
684168
TX
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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