| NPI | 1558402495 |
|---|---|
| Doing Business As | LONGEVITY & WELLNESS CENTER OF SOUTH TEXAS |
| Entity Type | Organization |
| Authorized Contact | ALBERT LEE GUINN President 361-225-0800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX E8529) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX E8529) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-10-25 |