Individual
JOHN KENDALL LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 BINZ ST, SUITE 1275, HOUSTON, TX 77004-6900
(713) 522-5664
(713) 522-9618
Mailing address
1200 BINZ ST, SUITE 1275, HOUSTON, TX 77004-6900
(713) 522-5664
(713) 522-9618
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
E4487
TX
Other
Enumeration date
11/23/2005
Last updated
07/08/2007
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