MEDICARE: LONG POINT HEALTH & INJURY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NX0800X	Orthopedic Chiropractor	2889	TX

General Provider Information

NPI Number	:	1457558702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONG POINT HEALTH & INJURY

Provider Business Mailing Address
First Line	:	7807 LONG POINT RD STE 305
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3779
Country	:	US
Telephone Number	:	713-864-2787
Fax Number	:	713-864-2799

Provider Business Practice Location Address
First Line	:	7807 LONG POINT RD
Second Line	:	# 305
City	:	HOUSTON
State	:	TX
Zip	:	77055-3779
Country	:	US
Telephone Number	:	713-864-2787
Fax Number	:	713-864-2799

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	WILLIAM J KOWALSKI
Credential	:	DC
Telephone Number	:	713-864-2787

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	08/22/2020

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Directions to “LONG POINT HEALTH & INJURY ” Practice Location

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