Organization
LONG POINT MD.PA.
Active
Organization
LONG POINT MD.PA.
Active
Other names
LONG POINT MD.PA.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARLENE RODRIGUEZ (OFFICE MANAGER)
(713) 722-8799
Entity
Organization
Contact information
Practice address
8153 LONG POINT RD, HOUSTON, TX 77055-2032
(713) 722-8799
(713) 722-8830
Mailing address
8153 LONG POINT RD, HOUSTON, TX 77055-2032
(713) 722-8799
(713) 722-8830
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00940V
MEDICARE GROUP
TX
01
—
BJ7030
BLUECROSS
TX
01
—
D4359
STATE LICENSE
TX
Enumeration date
05/31/2007
Last updated
08/22/2020
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