Timothy M Long


Address: 464 E Guadalupe St, La Grange, TX 78945-1950

Timothy M Long (NPI# 1457416489, PAC ID# 2860565645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1457416489
PAC ID by PECOS 2860565645
Professional Enrollment ID I20080728000234
Full Name Timothy M Long
Address 464 E Guadalupe St
La Grange
TX 78945-1950
Gender M
Graduation Year 1982
Primary Specialty CHIROPRACTIC
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
464 E Guadalupe St, La Grange, TX 78945-1950

Organization Information

Office Location

Street Address 464 E GUADALUPE ST
City LA GRANGE
State TX
Zip 78945-1950

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Competitor

Search similar physicians

City LA GRANGE
Zip Code 78945
Specialty CHIROPRACTIC
City + Specialty LA GRANGE + CHIROPRACTIC

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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