Charles Ray Longanecker II, PA-C

NPI #1346476785 in Bulverde, Texas

Provider Information

NPI Number
1346476785
Entity Type
Individual
Name
Charles Ray Longanecker II, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
May 29, 2009
Last Updated
Jul 20, 2010

Practice Location

Address
32665 US HIGHWAY 281 N
State
Texas
ZIP Code
78163-3124
Phone
(830) 980-1350

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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