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Contact Information

BENJAMIN LONG, MD
520 E 6TH ST
ODESSA, TX79761-4527
 Phone: 432-582-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Sleep Medicine

2080S0012X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BENJAMIN LONG · (Male)

NPI # 1710310289
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2013
Last updated 08/12/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • NE License # 31403
  • TX License # V9055
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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