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Nathanael Longacre
NPI 1801406954 · on the registry since 2020 · sole proprietor
Practice
- Address
- 519 N Lincoln Ave
Odessa, TX 79761 - Phone
- (432) 640-6446
- Fax
- (432) 640-6493
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-12
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