Individual provider · Type 1 NPI

Charles Ray Longanecker Ii, PA-C

Medical Physician Assistant · Bulverde, TX

NPI number 1346476785 Active

About NPI 1346476785

Charles Ray Longanecker Ii, PA-C's National Provider Identifier is 1346476785, issued on May 29, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bulverde, TX. The record was last updated on Jul 20, 2010.