| Physician Longevity Institute, Inc | |
|
1221 Leander Rd Georgetown TX 78628-8707 | |
| (512) 863-4500 | |
| Not Available |
| Full Name | Physician Longevity Institute, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1221 Leander Rd, Georgetown, Texas |
| Authorized Official Name and Position | Gary R Albertson (OWNER) |
| Authorized Official Contact | 5128634500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Longevity Institute, Inc 15943 Booth Cir Volente TX 78641-9679 Ph: (512) 250-9140 | Physician Longevity Institute, Inc 1221 Leander Rd Georgetown TX 78628-8707 Ph: (512) 863-4500 |
| NPI Number | 1790957090 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790957090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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