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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