Individual
MR. MATTHEW LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 BRIARWOOD BLVD, ARLINGTON, TX 76013
(678) 580-7874
Mailing address
1300 BRIARWOOD BLVD, ARLINGTON, TX 76013-1515
(678) 580-7874
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
05/27/2018
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