Individual
MR. DALLAS LONGSHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMT
Contact information
Practice address
1023 S LEE ST, ALVIN, TX 77511-3346
(281) 389-7481
Mailing address
1023 S LEE ST, ALVIN, TX 77511-3346
(281) 389-7481
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT103087
TX
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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