Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LONGEVITY MEDICINE, PLLC
Active OrganizationLONGEVITY MEDICINE, PLLC is a General Practice organization located in BOLING, Texas. NPI 1962672204 is currently active in the NPPES registry. Verify at CMS.
General Practice · BOLING, TX
Registration Details
- NPI Number
- 1962672204
- Provider Type
- Organization
- NPI Issued
- Mar 3, 2008 (18.493601167379 yrs)
- Last Updated
- Mar 3, 2008
- License
-
E5746 (TX)
Practice Information
- Address
-
120 RAILROAD STREETBOLING, TX, 77420Browse TX providers · Browse ZIP 77420
- Phone
- 9796574000
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.