Willie Nathaniel Long Valid NPI
Individual provider · Durable Medical Equipment & Medical Supplies · Stafford, TX
- NPI
- 1659441194
- Type
- Individual (Type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Specialty group
- Suppliers
- Taxonomy code
- 332B00000X
- License number
- 32010589631 (TX)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-11-09
- Last updated
- 2007-07-08
Practice location
610 Murphy Rd Ste 107
Stafford, TX 77477-5926
(281) 261-9616