Individual
MR. JUAN F LONGORIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
501 PALOMINO ST, LEAGUE CITY, TX 77573-2066
(281) 284-1467
(281) 284-9833
Mailing address
3235 MEADOW BAY LN, DICKINSON, TX 77539-6174
(281) 284-1467
(281) 284-9833
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2802
TX
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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