Individual
JON LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9939 STATE HIGHWAY 151, SAN ANTONIO, TX 78251-1900
(210) 480-8005
(210) 433-0333
Mailing address
9939 STATE HIGHWAY 151, SAN ANTONIO, TX 78251-1900
(210) 480-8005
(210) 433-0333
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
798929
TX
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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