Individual
SAMANTHA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(972) 207-2637
Mailing address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(972) 207-2637
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
W4532
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2023
Last updated
04/02/2026
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