Individual
MRS. CHRISTINE L. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6204 BALCONES DR, AUSTIN, TX 78731-4214
(512) 427-9400
(512) 342-2723
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 998-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
835115
TX
363L00000X
Nurse Practitioner
RN135873
GA
363LF0000X
Family Nurse Practitioner
Primary
AP123805
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323945101
—
TX
05
—
428863658A
—
GA
01
—
P01843064
RAILROAD
TX
Enumeration date
09/14/2007
Last updated
03/09/2022
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