Individual provider · Type 1 NPI

Mark Longanilla

Critical Care Medicine Registered Nurse · San Antonio, TX

NPI number 1619703303 Active

Practice location

7400 Merton Minter St
San Antonio, TX 78229-4404

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X983521 (TX)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1619703303

Mark Longanilla's National Provider Identifier is 1619703303, issued on Sep 10, 2024. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in San Antonio, TX. The record was last updated on Sep 10, 2024.