Longino, Meredith

Longino, Meredith is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Longino, Meredith can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-0001
Phone: (254) 724-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 771280 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP126569 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 771280 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP126569 Texas

Profile Details

NPI number 1588067276
LBN Legal business name Longino, Meredith
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2014
Last updated Sep 28th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588067276 NPPES
Texas MEDICAID 126669402

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