Individual
ROBERT JEFFERY LONGENECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1405 ESTERS RD APT 114, IRVING, TX 75061-9396
(972) 790-8236
(972) 790-8227
Mailing address
1405 ESTERS RD APT 114, PO BOX 177128, IRVING, TX 75061-9396
(972) 790-8236
(972) 790-8227
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
4014
TX
Other
Enumeration date
01/05/2007
Last updated
03/15/2012
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