Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHANAEL JAMES LONGACRE
Active Sole ProprietorNATHANAEL JAMES LONGACRE is a Physician Assistant healthcare provider located in ODESSA, Texas. NPI 1801406954 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ODESSA, TX
Registration Details
- NPI Number
- 1801406954
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2020 (6.0187009757672 yrs)
- Last Updated
- Oct 12, 2021
- License
-
PA14987 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
519 N LINCOLN AVEODESSA, TX, 797614429Browse TX providers · Browse ZIP 79761
- Phone
- 4326406446
- Fax
- 4326406493
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ODESSA, TX
| Name | Credential | NPI |
|---|---|---|
| STEVEN R DILLARD | PAC | 1326089368 |
| TONA SCOTT | PA | 1922035930 |
| TONY D SADLER | PAC | 1851328017 |
| PHILIP A GENTILE | PA | 1528095361 |
| TABATHA J PITTMAN | PA-C | 1942361936 |
| JUANITA C LOPEZ | PA | 1194855817 |
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.