Longevity Medicine, Pllc in Boling - General Practice
Longevity Medicine, Pllc - NPI 1962672204
Longevity Medicine, Pllc is a General Practice in Boling, Texas. Longevity Medicine, Pllc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Longevity Medicine, Pllc is 1962672204. The last update date is 2008-03-03.
Longevity Medicine, Pllc's current location address is Po Box 700, Boling, Texas. You can contact this provider via phone number 9796574400 and fax number 9796573800. The mailing address for Longevity Medicine, Pllc is Po Box 700, Boling, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Longevity Medicine, Pllc |
|---|---|
| Address | Po Box 700, Boling, Texas |
| Phone Number | 9796574400 |
| Fax Number | 9796573800 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Erickson Peter |
| Credentials | M.D. |
| Telephone Number | 9796574400 |
NPI Number Detail
| NPI Number | 1962672204 |
|---|---|
| Provider Enumeration Date | 2008-03-03 |
| Last Updated Date | 2008-03-03 |
Provider Mailing Address Detail
| Address | Po Box 700 |
|---|---|
| City | Boling |
| State | Texas (TX) |
| Post Code | 774200700 |
| Phone Number | 9796574400 |
| Fax Number | 9796573800 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | E5746 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Longevity Medicine, Pllc?
The Longevity Medicine, Pllc has been issued the NPI (National Provider Identifier) 1962672204 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Longevity Medicine, Pllc?
The Longevity Medicine, Pllc is physically situated at Po Box 700, in the city of Boling, state of TX, with the postal code 774200700.
What is the Longevity Medicine, Pllc's specialty and taxonomy code?
The Longevity Medicine, Pllc's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date was the 1962672204 assigned to Longevity Medicine, Pllc?
The Longevity Medicine, Pllc was issued its 1962672204 on 2008-03-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Longevity Medicine, Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Longevity Medicine, Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-03.