Provider Demographics
NPI:1912598780
Name:CONSTANCE NGOZI LONGO
Entity Type:Organization
Organization Name:CONSTANCE NGOZI LONGO
Other - Org Name:ALLEN MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-778-7690
Mailing Address - Street 1:1402 S CUSTER RD STE 701
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-1453
Mailing Address - Country:US
Mailing Address - Phone:214-778-7690
Mailing Address - Fax:469-666-9188
Practice Address - Street 1:1402 S CUSTER RD STE 701
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-1453
Practice Address - Country:US
Practice Address - Phone:214-778-7690
Practice Address - Fax:469-666-9188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX017200OtherDME