Individual
REBEKAH KRISTINE LONGSHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12313 NORTH MOPAC EXPRESSWAY, #200, AUSTIN, TX 78758
(512) 973-8276
Mailing address
12319 N MOPAC EXPY STE 200, AUSTIN, TX 78758-2497
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
18892
CA
Other
Enumeration date
07/23/2009
Last updated
03/17/2017
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