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NPI Code Detail

MEDICARE: OLUWAGBEMIGA LONGE

MEDICARE: OLUWAGBEMIGA LONGE
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1386972511
Entity Type Code : Organization
Provider Name (Legal Business Name) : OLUWAGBEMIGA LONGE
Provider Business Mailing Address
First Line : 18438 AUSTIN OAK LN
Second Line :
City : RICHMOND
State : TX
Zip : 77407-2276
Country : US
Telephone Number : 281-751-8282
Fax Number : 281-751-8282
Provider Business Practice Location Address
First Line : 18438 AUSTIN OAK LN
Second Line :
City : RICHMOND
State : TX
Zip : 77407-2276
Country : US
Telephone Number : 281-751-8282
Fax Number : 281-751-8282
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : MR. OLUWAGBEMIGA LONGE
Credential :
Telephone Number : 281-751-8282
Provider Enumeration Date : 11/30/2009
Last Update Date : 11/30/2009

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Directions to “OLUWAGBEMIGA LONGE ” Practice Location

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