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

Mrs. Elicia Raeona Marie Long, PA-C

Individual provider Medical Physician Assistant · NPI 1790080489

Mrs. Elicia Raeona Marie Long, PA-C is a Physician Assistant in Spring, Texas. Qualified in 2010, 16 years ago. Practices with Minuteclinic Diagnostic of Texas PLLC, a 254-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

24802 Aldine Westfield Rd
Spring, TX 77373-5926
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA07133 (TX)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1790080489
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 11, 2011
Last updated in NPPESAugust 10, 2024
Certification dateAugust 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Minuteclinic Diagnostic Of Texas Pllc — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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