THERESA M. BUREAU-LONG M.D. – NPI #1316177009
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

THERESA BUREAU-LONG is a physician located in FORT HOOD, TX. NPPES has assigned the NPI number 1316177009 to THERESA BUREAU-LONG on July 16, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name THERESA MARIE BUREAU LONG. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 15 years ago on May 18, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THERESA BUREAU-LONG below.

NPI Profile for
THERESA M. BUREAU-LONG

NPI Number
1316177009
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
THERESA M. BUREAU-LONG
Former Name: THERESA MARIE BUREAU LONG
Credentials
M.D.
Primary location
36000 DARNALL LOOP
CARL R. DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX 76544
Phone: (254) 288-8234 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
IN 01069538A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.