Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Calhoun Long, MD

Individual provider Specialist · NPI 1376534917

Jack Calhoun Long, MD is a Specialist in Georgetown, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1900 Scenic Dr Ste 1114
Georgetown, TX 78626-7724
Phone: (512) 248-2200
Fax: (512) 248-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence D7435 (TX)
Specialist Taxonomy 174400000X · Licence D7435 (TX)

Record details

NPI number1376534917
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 2, 2005
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021
Mailing address8240 N Mopac Expy Ste 100, Austin, TX 78759-8869

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