Organization
MICHAEL DAVID LONG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID LONG MD (OWNER/MD)
(806) 787-9111
Entity
Organization
Contact information
Practice address
3223 S LOOP 289 STE 325, LUBBOCK, TX 79423-1351
(806) 412-5224
(806) 412-5224
Mailing address
3223 S LOOP 289 STE 325, LUBBOCK, TX 79423-1351
(806) 412-5224
(806) 412-5221
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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