Individual provider · Type 1 NPI

Michael Anthony Longo, MD

Student in an Organized Health Care Education/Training Program · Arlington, TX

NPI number 1790544179 Active

Practice location

3301 Matlock Rd
Arlington, TX 76015-2908

Mailing address

11503 Barwood Bend Dr
Houston, TX 77065-2130

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790544179

Michael Anthony Longo, MD's National Provider Identifier is 1790544179, issued on Mar 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Arlington, TX. The record was last updated on Mar 18, 2024.