REPUBLIC LONGEVITY LLC

BRYAN, TX
NPI1831015577
Entity TypeOrganization
Authorized ContactDENA GASKIN
COO
979-229-9188
Organization Subpart ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
Enumeration Date2026-06-26
Last Update Date2026-06-26
Business Address
REPUBLIC LONGEVITY LLC
3201 UNIVERSITY DR E STE 370
BRYAN, TX 77802-3485
Phone number: 979-703-1426
Mailing Address
REPUBLIC LONGEVITY LLC
10592 COUNTY ROAD 175
IOLA, TX 77861-3617
Phone number: 979-703-1426
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