Longevity Wellness Center is a
Internal Medicine based in Austin, Texas. Longevity Wellness Center is licensed to practice in Texas (license number ) and their current practice location is
4101 Marathon Boulevard, Austin, Texas. It can be reached at their office (for appointments etc.) via phone at
(512) 323-9222.
NPI number for Longevity Wellness Center is 1538314562 and their current mailing address is Po Box 303460, Austin, Texas. Longevity Wellness Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1538314562.
Healthcare Provider's Profile
Full Name | Longevity Wellness Center |
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Type | Facility |
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Speciality | Internal Medicine |
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Location | 4101 Marathon Boulevard, Austin, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538314562
- Provider Enumeration Date: 11/18/2008
- Last Update Date: 04/15/2013
Medical Identifiers
Medical identifiers for Longevity Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538314562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NI0900X | Chiropractor - Internist | DC30474 (Texas) | Secondary |
207R00000X | Internal Medicine | (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Longevity Wellness Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Longevity Wellness Center Po Box 303460, Austin, TX 78703-0058 Ph: (512) 323-9222 | Longevity Wellness Center 4101 Marathon Boulevard, Austin, TX 78756-4026 Ph: (512) 323-9222 |
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