Michael David Long, M.D.

Dermatology Physician · Lubbock, TX

Individual Active NPI

NPI number 1386676542

Practice location

6012 82ND St Ste 15
Lubbock, TX 79424-3671
Phone
(806) 749-7933
Fax
(806) 749-6117

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NPI record

NPI
1386676542
Entity type
Individual (Type 1)
Enumeration date
July 7, 2006
Last updated
May 17, 2023
Certified
May 17, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dermatology Physician Primary 207N00000X J6551 TX
MOHS-Micrographic Surgery Physician 207ND0101X J6551 TX

Mailing address

6610 Norwood Ave
Lubbock, TX 79413-5909
Phone
(806) 787-9111

Other practice locations (2)

  • 3715 21st St, Lubbock, TX 79410-1219 · (806) 795-0610
  • 3223 S Loop 289 Ste 325, Lubbock, TX 79423-1351 · (806) 412-5224

About Dr. Long

Michael David Long, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dermatology Physician (code 207N00000X). The practice location is 6012 82ND St Ste 15, Lubbock, TX 79424-3671. The NPI number 1386676542 was assigned on July 7, 2006 and the record was last updated on May 17, 2023.

Dr. Long lists 2 licenses in the registry: #J6551 (TX) for Dermatology Physician; #J6551 (TX) for MOHS-Micrographic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael David Long, M.D.?

The NPI number is 1386676542.

What is the phone number of Dr. Long?

The phone number listed for the practice location is (806) 749-7933.

Where is Dr. Long located?

6012 82ND St Ste 15, Lubbock, TX 79424-3671.

What is the taxonomy code for Dr. Long?

The primary taxonomy code is 207N00000X – Dermatology 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.

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