Long, Elicia Raeona Marie

Long, Elicia Raeona Marie is an individual health care provider with primary practice located at 24802 Aldine Westfield Rd , Spring TX 77373-5926. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Long, Elicia Raeona Marie can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
24802 Aldine Westfield Rd Spring TX 77373-5926
Phone: (866) 389-2727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA07133 Texas

Profile Details

NPI number 1790080489
LBN Legal business name Long, Elicia Raeona Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2011
Last updated Jun 13th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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