P Praxis·MD
● Active Type 1 · Individual

DR. Michael Scott Long, D.O.

Pathology·Nacogdoches, TX· NPI 1043560691 · Enumerated 2012 · 13 years on NPI
Long is 1 of 4 pathology providers in Nacogdoches and 1 of 1597 in Texas.
NPI age
13 years
Enumerated 2012-09-11
Primary specialty
Pathology
Plus 1 subspecialty
Licensed in
TX, PA
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-12-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1597 active pathology providers in Texas.

NPI age
13 years
↓ 6 yr below median (19 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-09Enumerated in NPPES
2012 2026

Where they practice

Practice location
4920 Ne Stallings Dr
Nacogdoches, TX 759651254
📞 9725260340fax 9729961857
Mailing address
Po Box 226
Rowlett, TX 750300226
📞 9722526034fax 9729961857

Specialties

  • Pathology Primary
    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses...
    TX license #QQ498PA license #OS015429 taxonomy 207ZP0102X

Identifiers

TypeValueNotes
01 (TX) 8EM612 BLUE CROSS BLUE SHIELD
05 (TX) 337951301
05 (TX) 337951302
01 P01360899 RAILROAD MEDICARE
01 (TX) 8EK438 BLUE CROSS BLUE SHIELD
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 37 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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