Timothy Long, DC

NPI #1457416489 in La Grange, Texas

Provider Information

NPI Number: 1457416489
Entity Type: Individual
Name: Timothy Long, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Dec 27, 2006
Last Updated: Aug 13, 2018

Practice Location

Address: 464 E GUADALUPE
City: La Grange
State: Texas
ZIP Code: 78945
Phone: (979) 966-0601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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