Individual
ERIC S LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 526-5771
Mailing address
PO BOX 4346, HOUSTON, TX 77210-4346
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M7377
TX
Other
Enumeration date
03/20/2008
Last updated
11/29/2011
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