Dr. Mary E. Long, D.C., P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10358 Issued in TX

Legal business name

DR. MARY E. LONG, D.C., P.A.

Practice address

3112 N Jupiter Rd
Suite 310
Garland, TX 75044-6578

Phone

(972) 496-9099

Fax

(972) 496-8910

NPI assigned

May 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mary Elizabeth Long, D.C.

Title

President

Phone

(972) 496-9099

Specialties & licenses 1

Addresses

Other names 1

• Absolute Chiropractic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497977250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 N JUPITER RD",
            "address_2": "SUITE 310",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750446578",
            "telephone_number": "972-496-9099",
            "fax_number": "972-496-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 N JUPITER RD",
            "address_2": "SUITE 310",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750446578",
            "telephone_number": "972-496-9099",
            "fax_number": "972-496-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARY E. LONG, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-496-9099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Garland, TX
• Providers in Garland, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.