SearchTexasUrology Physician

Jack Long, MD

NPI 1376534917 · on the registry since 2005 · sole proprietor

Practice

Address
1900 Scenic Dr Ste 1114
Georgetown, TX 78626
Phone
(512) 248-2200
Fax
(512) 248-1950
Organisation at this address
Urology Austin, Pllc
Peregrine Ventures, Llc
Lone Star Circle Of Care
Intergrity Pain Group Pllc
Kristy D. Heatly, D.O., P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
Urology Physician
208800000X
Also registered as
Specialist
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-01

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