Provider Demographics
NPI:1659704062
Name:ABILENE FAMILY MEDICAL ASSOCIATES LLP
Entity Type:Organization
Organization Name:ABILENE FAMILY MEDICAL ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:LONGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:325-695-6370
Mailing Address - Street 1:6417 CENTRAL PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5884
Mailing Address - Country:US
Mailing Address - Phone:325-695-6370
Mailing Address - Fax:325-695-2720
Practice Address - Street 1:6417 CENTRAL PARK BLVD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5884
Practice Address - Country:US
Practice Address - Phone:325-695-6370
Practice Address - Fax:325-695-2720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-21
Last Update Date:2019-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty