Individual
DR. ROBERT LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7125 NEW SANGER RD, SUITE B WACO LUNG ASSOCIATES, WACO, TX 76712
(254) 741-1688
(254) 741-9767
Mailing address
7125 NEW SANGER RD, SUITE B WACO LUNG ASSOCIATES, WACO, TX 76712
(254) 741-1688
(254) 741-9767
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04146R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1956287
—
LA
Enumeration date
09/23/2005
Last updated
07/08/2007
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