Nathanael James Longacre

NPI #1801406954 in Odessa, Texas

Provider Information

NPI Number: 1801406954
Entity Type: Individual
Name: Nathanael James Longacre
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Aug 4, 2020
Last Updated: Oct 12, 2021

Practice Location

Address: 519 N LINCOLN AVE
City: Odessa
State: Texas
ZIP Code: 79761-4429
Phone: (432) 640-6446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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