SearchTexas183500000X

Tim Long, RPH

NPI 1083210124 · on the registry since 2020 · sole proprietor

Practice

Address
4006 Estes Pkwy
Longview, TX 75603
Phone
(903) 234-2083
Fax
(903) 234-2491
Organisation at this address
Wal-Mart Stores Texas Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas