Healthcare Provider Details

I. General information

NPI: 1770763815
Provider Name (Legal Business Name): LONGPOINT MEDICAL PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2007
Last Update Date: 07/18/2022
Certification Date: 07/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9504 LONG POINT RD STE E
HOUSTON TX
77055-4226
US

IV. Provider business mailing address

9504 LONG POINT RD STE E
HOUSTON TX
77055-4226
US

V. Phone/Fax

Practice location:
  • Phone: 713-893-6214
  • Fax: 713-461-3518
Mailing address:
  • Phone: 713-461-3535
  • Fax: 713-461-3518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberL2584
License Number StateTX

VIII. Authorized Official

Name: MR. ABDUR RAUF
Title or Position: OWNER
Credential: M.D
Phone: 713-893-6214