Individual
CHARLES RAY LONGANECKER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
32665 US HIGHWAY 281 N, BULVERDE, TX 78163-3124
(830) 980-1350
(830) 438-3423
Mailing address
32665 US HIGHWAY 281 N, BULVERDE, TX 78163-3124
(830) 980-1350
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TX
Other
Enumeration date
05/29/2009
Last updated
07/20/2010
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