Thomas N Long, MD
Surgery in Decatur, TX. Individual provider (NPI-1).
NPI number1619085370
StatusActive
Last updated in NPPESAug 31, 2010
Details
- NPI
- 1619085370
- Entity type
- Individual (NPI-1)
- Name
- Thomas N Long
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2006
- Last updated
- Aug 31, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | F0565 | TX | Yes |
Practice location
1001 W Eagle DrDecatur, TX 76234-3745
Phone 940-627-7443 · Fax 940-627-7464
Mailing address
1001 W Eagle DrDecatur, TX 76234-3745
Phone 940-627-7443 · Fax 940-627-7464
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