John L. Long | Seguin, TX • PECOS Search

John L. Long

Chiropractor

Chiropractic Providers

510 N River St, Seguin, TX 78155-4739

PECOS Enrollment

Based on the most recent information from CMS, provider John L. Long does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1306057773
Provider Type
Individual
Full Name
Long, John L.
Title
Dr.
Credential
DC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/25/2007
Last Updated
7/8/2007

Contact Information

Practice Location

510 N River St, Seguin, TX 78155-4739

Unlisted Fax

Mailing Location

510 N River St, Seguin, TX 78155-4739

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License DC2766 Texas