| NPI | 1295749588 |
|---|---|
| Doing Business As | LONGEVITY & WELLNESS CENTER OF SOUTH TEXAS |
| Entity Type | Organization |
| Authorized Contact | ALBERT LEE GUINN Owner President 361-225-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2008-04-15 |