Individual
SHELBY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 34TH ST STE 200, AUSTIN, TX 78705-1916
(512) 324-3405
(512) 324-3404
Mailing address
10704 TROPHY CV, AUSTIN, TX 78748-2561
(512) 944-7157
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1002022
TX
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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