| NPI | 1275367815 |
|---|---|
| Doing Business As | LIFETIME MEDICAL |
| Entity Type | Organization |
| Authorized Contact | BOCHEN TONG Physician Owner 281-214-8473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |