Individual
JUDITH C LONGWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
740 S ALAMO, SAN ANTONIO, TX 78205-3437
(210) 222-0333
(210) 222-0369
Mailing address
740 S ALAMO, SAN ANTONIO, TX 78205-3437
(210) 222-0333
(210) 222-0369
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
633826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160866301
—
TX
Enumeration date
09/29/2005
Last updated
03/15/2011
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