Individual
DR. WILLIAM F. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2027 S. 61ST ST, #108, TEMPLE, TX 76502
(254) 773-8916
(254) 228-5574
Mailing address
11770 JOLLYVILLE RD, AUSTIN, TX 78759
(512) 732-2774
(512) 331-5192
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
E6480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114479201
—
TX
Enumeration date
09/23/2005
Last updated
06/26/2015
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