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DAVID R LONG MD PA NPI 1831579382


NPI Information

NPI: 1831579382
Provider Name: DAVID R LONG MD PA

Doing Business As: LUBBOCK COOPER HEALTH CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2198562

Address:
12115 INDIANA AVE
LUBBOCK, TX
ZIP 79423
Phone: (806) 531-3977
Get Directions

DAVID R LONG MD PA is a family medicine in Lubbock, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DAVID R LONG MD PA NPI is 1831579382. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lubbock Cooper Health Center.

The provider's business location address is:

12115 INDIANA AVE
LUBBOCK, TX
ZIP 79423-501
Phone: (806) 531-3977
Fax: (806) 531-3978

The provider's authorized official is Victoria Barajas .
The authorized official title is Billing Director and has the following contact phone number (806) 531-3977.

The CLIA number assigned to this NPI record is 45D2198562 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2015 and was last updated on 2/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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