MRS. Jacquelynn Antoinette Longshaw, M.D.

NPI #1962463984 in Desoto, Texas

Provider Information

NPI Number: 1962463984
Entity Type: Individual
Name: MRS. Jacquelynn Antoinette Longshaw, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Mar 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2828 DUKE OF GLOUCESTER ST
Address 2: SUITE 106
City: Desoto
State: Texas
ZIP Code: 75115-2067
Phone: (972) 298-3888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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