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LIFELONG WELLNESS CLINIC PLLC
NPI 1114205812
Family Medicine in Eastland, TX

Active since July 28, 2011
711 W MAIN ST, EASTLAND, TX 76448(254) 629-1100(254) 629-1104 Get Directions Write a Review

NPPES record last updated: October 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifelong Wellness Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFELONG WELLNESS CLINIC PLLC (NPI 1114205812) is a healthcare organization registered as a family medicine in Eastland, Texas and active in the NPI registry since July 2011. The organization lists Christopher Tidroski, Owner, as its authorized official.

NPPES Registry Identity

NPI1114205812
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFELONG WELLNESS CLINIC PLLC
Location Address711 W MAIN STEastland, TX 76448-2534
Mailing Address711 W Main StEastland, TX 76448-2534 · (254) 629-1100 · Fax (254) 629-1104
Phone(254) 629-1100
Fax(254) 629-1104
Organization SubpartNo
Authorized OfficialChristopher TidroskiOwner · (254) 629-1100
Enumeration DateJuly 28, 2011
Last NPPES UpdateOctober 23, 2013
✔ NPI 1114205812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · N2319
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPediatricsTaxonomy 208000000X · License P0309 (TX)
711 W MAIN ST, Eastland, TX 76448
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE BERENDA STEWART NP
Nurse Practitioner (Family)
711 W MAIN ST
EASTLAND, TX 76448
Eastland County (254) 631-0111
ROBERTO JOHN DENNY FNP, APRN
Nurse Practitioner (Family)
711 W MAIN ST
EASTLAND, TX 76448
Eastland County (254) 631-0111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifelong Wellness Clinic PLLC's NPI number?

The NPI number for Lifelong Wellness Clinic PLLC is 1114205812. It was assigned to this organization in the NPPES registry on July 28, 2011.

Where is Lifelong Wellness Clinic PLLC located?

Lifelong Wellness Clinic PLLC is located at 711 W Main St, Eastland, TX 76448. The listed phone number is (254) 629-1100.

What is Lifelong Wellness Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lifelong Wellness Clinic PLLC was last updated on October 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.