Long.P.Nguyen M.D., P.a.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

G7293 Issued in TX

Legal business name

LONG.P.NGUYEN M.D., P.A.

Practice address

4151 Southwest Fwy
410
Houston, TX 77027-7312

Phone

(713) 222-7246

Fax

(713) 963-9993

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Long Phan Nguyen, M.D

Title

President

Phone

(713) 222-7246

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992903348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460368",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770568368",
            "telephone_number": "713-222-7246",
            "fax_number": "713-963-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 SOUTHWEST FWY",
            "address_2": "410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277312",
            "telephone_number": "713-222-7246",
            "fax_number": "713-963-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG.P.NGUYEN M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LONG",
        "authorized_official_middle_name": "PHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-222-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "G7293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10019810",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149775",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "MDG7293",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Long, MD
• Scott Wesley Long, M.D., PH.D.
• Shunta Long, LPC
• Susan D Long, LCSW
• Tracey Bates Long, RN, APRN, PHD
• Rebecca Kathryn Longacre, FNP-C
• Bernard Joseph Longano, LMFT, LCSW
• Deborah M Longano, PHD
• Frank Longano, MD
• Longboard Surgical Associates, PA

• Interventional Pain Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Interventional Pain Medicine Physician 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.