Jack Calhoun Long, MD

NPI #1376534917 in Georgetown, Texas

Provider Information

NPI Number: 1376534917
Entity Type: Individual
Name: Jack Calhoun Long, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Credential: MD
Enumeration Date: Nov 2, 2005
Last Updated: Nov 1, 2021

Practice Location

Address: 1900 SCENIC DR STE 1114
City: Georgetown
State: Texas
ZIP Code: 78626-7724
Phone: (512) 248-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Urology	208800000X	Primary

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Organizations

Provider Name	Specialty	City
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