Provider Demographics
NPI:1811230709
Name:LONGORIA, CESAR A (DC)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:A
Last Name:LONGORIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 S KATY FORT BEND RD
Mailing Address - Street 2:210
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0815
Mailing Address - Country:US
Mailing Address - Phone:281-394-9100
Mailing Address - Fax:281-557-6513
Practice Address - Street 1:481 S KATY FORT BEND RD
Practice Address - Street 2:210
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0815
Practice Address - Country:US
Practice Address - Phone:281-394-9100
Practice Address - Fax:281-557-6513
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12295111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor