Marcy Willard Long in Round Rock - Pediatric Critical Care Medicine
Marcy Willard Long - NPI 1437228111
Marcy Willard Long is a Pediatric Critical Care Medicine in Round Rock, Texas. Marcy Willard Long practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Marcy Willard Long is 1437228111. The last update date is 2020-10-02.
Marcy Willard Long's current location address is 302 University Blvd, Round Rock, Texas. You can contact this provider via phone number 5125090200. The mailing address for Marcy Willard Long is 302 University Blvd, Round Rock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcy Willard Long |
|---|---|
| Address | 302 University Blvd, Round Rock, Texas |
| Phone Number | 5125090200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1437228111 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2020-10-02 |
Provider Mailing Address Detail
| Address | 302 University Blvd |
|---|---|
| City | Round Rock |
| State | Texas (TX) |
| Post Code | 786651032 |
| Phone Number | 5125090200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | PA05387 |
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Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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What is the unique 10-digit identification code issued to Marcy Willard Long by the Centers for Medicare & Medicaid Services?
The Marcy Willard Long has been assigned the NPI (National Provider Identifier) 1437228111 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Marcy Willard Long?
The Marcy Willard Long is physically situated at 302 University Blvd, in the city of Round Rock, state of TX, with the postal code 786651032.
What is the Marcy Willard Long's specialty and taxonomy code?
The Marcy Willard Long's specialty is Pediatric Critical Care Medicine, and the corresponding taxonomy code is 2080P0203X.
On what date did the Marcy Willard Long receive the assignment of its 1437228111 from the Centers for Medicare & Medicaid Services?
The Marcy Willard Long was issued its 1437228111 by the Centers for Medicare & Medicaid Services on 2006-11-07.
As of what date were the Marcy Willard Long's details last updated?
The information pertaining to the Marcy Willard Long, including its address, specialty, and other details, was most recently updated on 2020-10-02.