Individual
DR. DAVID DEAN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 S MAIN ST, BIG SPRING, TX 79720-2928
(432) 714-4650
(432) 714-4653
Mailing address
910 S MAIN ST, BIG SPRING, TX 79720-2928
(432) 714-4650
(432) 714-4653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0574
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1797250-01
—
TX
01
—
8AJ774
BLUE CROSS BLUE SHIELD
—
01
—
DE4229
RAILROAD
TX
Enumeration date
07/12/2006
Last updated
10/04/2012
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