MEDICARE: DR. STEVEN E LONGACRE M.D.

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	207P00000X	Emergency Medicine Physician	K8305	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	930078743	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0082GX	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	89771N	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1417933516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN E LONGACRE M.D.

Provider Business Mailing Address
First Line	:	6451 BRENTWOOD STAIR RD STE 200
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-3200
Country	:	US
Telephone Number	:	817-507-1770
Fax Number	:

Provider Business Practice Location Address
First Line	:	1255 REESE LN
Second Line	:
City	:	AZLE
State	:	TX
Zip	:	76020-1539
Country	:	US
Telephone Number	:	214-632-1863
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	02/12/2013

Similar Medicare Providers

1982609269 — AZLE MANOR HEALTH CARE, L.L.L.P.
Practice Location Address:

721 DUNAWAY LN
AZLE, TX
76020

Practice Phone: 817-444-2536
Practice Fax:

1891797627 — MS. SUNDYE MARIE WEST FNP-C
Practice Location Address:

141 INDUSTRIAL AVE
AZLE, TX
76020-2901

Practice Phone: 817-444-3231
Practice Fax: 817-444-3234

1023000734 — MS. KRISTINA JO MAYO
Practice Location Address:

509 DUNAWAY LN
AZLE, TX
76020-3207

Practice Phone: 817-692-0714
Practice Fax:

1699761114 — CARLA C DAHMS APRN
Practice Location Address:

460 NORTHWEST PKWY
AZLE, TX
76020-3136

Practice Phone: 866-389-2727
Practice Fax:

1093796567 — TERESA LEA TURGEON PA
Practice Location Address:

141 INDUSTRIAL AVE
AZLE, TX
76020-2901

Practice Phone: 817-444-3231
Practice Fax:

1831171008 — AZLE OXYGEN SUPPLY
Practice Location Address:

1129 SOUTHEAST PKWY
AZLE, TX
76020-3803

Practice Phone: 817-238-8989
Practice Fax: 817-238-8998

Directions to “ DR. STEVEN E LONGACRE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.