Jack Calhoun Long, MD
Urology Physician · Georgetown, TX
Practice location
1900 Scenic Dr Ste 1114Georgetown, TX 78626-7724
- Phone
- (512) 248-2200
- Fax
- (512) 248-1950
NPI record
- NPI
- 1376534917
- Entity type
- Individual (Type 1)
- Enumeration date
- November 2, 2005
- Last updated
- November 1, 2021
- Certified
- November 1, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Physician Primary | 208800000X |
D7435 | TX |
| Specialist | 174400000X |
D7435 | TX |
Mailing address
8240 N Mopac Expy Ste 100Austin, TX 78759-8869
- Phone
- (512) 687-1950
About Dr. Long
Jack Calhoun Long, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 1900 Scenic Dr Ste 1114, Georgetown, TX 78626-7724. The NPI number 1376534917 was assigned on November 2, 2005 and the record was last updated on November 1, 2021.
Dr. Long lists 2 licenses in the registry: #D7435 (TX) for Urology Physician; #D7435 (TX) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jack Calhoun Long, MD?
The NPI number is 1376534917.
What is the phone number of Dr. Long?
The phone number listed for the practice location is (512) 248-2200.
Where is Dr. Long located?
1900 Scenic Dr Ste 1114, Georgetown, TX 78626-7724.
What is the taxonomy code for Dr. Long?
The primary taxonomy code is 208800000X – Urology Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Urology Physician providers in Georgetown
- Kashyap Shatagopam, MD1900 Scenic Dr Ste 1114
- Urology Austin, PLLC1900 Scenic Dr Ste 1114