LONGEVITY WELLNESS GROUP

Internal Medicine

Active Organization
NPI: 1538314562

Practice Address

4101 MARATHON BOULEVARD
Austin, TX 78756

Phone: (512) 323-9222

Specialties

Specialty Code Primary License
Chiropractor - Internist 111NI0900X No DC30474 (TX)
Internal Medicine 207R00000X Yes -

Frequently Asked Questions

NPI 1538314562 is the National Provider Identifier for LONGEVITY WELLNESS GROUP, a Internal Medicine provider located in Austin, TX. This NPI was enumerated on November 18, 2008.

Quick Facts

NPI
1538314562
Type
Organization
Enumerated
Nov 18, 2008
Last Updated
Apr 15, 2013

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