Long, Robert

Long, Robert is an individual health care provider with primary practice located at 7125 New Sanger Rd Suite B Waco Lung Associates, Waco TX 76712. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Long, Robert can be contacted via phone (254) 741-1688.

Contact Information

Primary practice address
7125 New Sanger Rd Suite B Waco Lung Associates Waco TX 76712
Fax: (254) 741-9767
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 04146R Louisiana

Profile Details

NPI number 1679569644
LBN Legal business name Long, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679569644 NPPES
Louisiana MEDICAID 1956287

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