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Individual

DR. TAYLER H LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6124 W PARKER RD, SUITE 530, PLANO, TX 75093-8122
(214) 778-1075
(214) 778-1237
Mailing address
6124 W PARKER RD, SUITE 530, PLANO, TX 75093-8122
(214) 778-1075
(214) 778-1237

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
K7802
TX
207RP1001X
Pulmonary Disease Physician
K7802
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4307489
BLUE LINK
TX
01
7392591
AETNA
TX
01
8F1081
BLUE CROSS/BLUE SHIELD
TX
01
P00256274
RAILROAD MEDICARE
TX
Enumeration date
03/08/2006
Last updated
07/05/2017
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