Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS LONG, PA-C
Active Sole ProprietorNICHOLAS LONG, PA-C is a Physician Assistant healthcare provider located in FORT WORTH, Texas. NPI 1629512645 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT WORTH, TX
Registration Details
- NPI Number
- 1629512645
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2016 (9.6720265457158 yrs)
- Last Updated
- Aug 15, 2025
- Licenses
-
10002175A (IN)PA19181 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6301 HARRIS PKWY STE 300FORT WORTH, TX, 761324266Browse TX providers · Browse ZIP 76132
- Phone
- 8178773432
- Fax
- 8173464394
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| PAMELA JEAN PLAKE | P.A.-C | 1023018645 |
| MELISSA NEAL WRIGHT | PA-C | 1215937651 |
| LUCIANA ROCHETTI | PA-C | 1497747653 |
| LAURA J JONES | PA-C | 1881686939 |
| VICTOR LAMONT HOLMES | PA | 1194711747 |
| ANN CATHERINE TEAL | PA-C | 1679561914 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.