NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

LONGEVITY WELLNESS GROUP
4101 MARATHON BOULEVARD
AUSTIN, TX78756-4026
 Phone: 512-323-9222
 Fax: 512-323-9232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LONGEVITY WELLNESS GROUP

NPI Number 1538314562
LBN Legal business name LONGEVITY WELLNESS GROUP
Authorized official GREGORY DAVIS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/18/2008
Last updated 04/15/2013 - About 13 years ago
Identifiers
TX License # DC30474
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for LONGEVITY WELLNESS GROUP

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for LONGEVITY WELLNESS GROUP
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Doctors & Physicians
JOHN R MCCLELLAND III, DC
2911 MEDICAL ARTS ST
AUSTIN, TX
GRACE M GRANT JENNINGS, MD
7000 NORTH MOPAC
AUSTIN, TX
DEBRA A PATT, MD, MPH
6204 BALCONES DR
AUSTIN, TX
MARYAM SAIF, MD
7000 NORTH MOPAC
AUSTIN, TX
CRAIG E RICHARDSON, DC
1619 W 6TH ST
AUSTIN, TX
JOSE A CERVANTES, MD
1701 TRINITY STREET, SUITE 7.802, 78712
AUSTIN, TX
MATTHEW SEGHERS
INTERNAL MEDICINE RESIDENCY PROGRAM, 1701 TRINITY ST
AUSTIN, TX
TATIANA B JACOBSON, MD
5656 BEE CAVES RD. BLDG C STE. 102
AUSTIN, TX
PATRICK A HASKELL, DO
5656 BEE CAVES RD. BLDG C STE. 102
AUSTIN, TX
THE AUSTIN DIAGNOSTIC CLINIC, PLLC
12221 N MO PAC EXPY
AUSTIN, TX

  View all Doctors & Physicians
v2.403