Individual
BRIAN WILLIAM LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1611 COMMERCIAL AVE, SAN ANTONIO, TX 78221-1004
(210) 922-0942
Mailing address
1611 COMMERCIAL AVE, SAN ANTONIO, TX 78221-1004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15589
TX
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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