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LONGEVITY WELLNESS CENTER
NPI 1538314562
Internal Medicine in Austin, TX

Active since November 18, 2008
4101 MARATHON BOULEVARD, AUSTIN, TX 78756(512) 323-9222(512) 323-9232 Get Directions Write a Review

NPPES record last updated: April 15, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Longevity Wellness Center NPPES

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

LONGEVITY WELLNESS CENTER (NPI 1538314562) is a healthcare organization registered as an internal medicine in Austin, Texas and active in the NPI registry since November 2008. The organization lists Gregory Trent Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538314562
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLONGEVITY WELLNESS GROUP
Location Address4101 MARATHON BOULEVARDAustin, TX 78756-4026
Mailing AddressPo Box 303460Austin, TX 78703-0058 · (512) 323-9222 · Fax (512) 323-9232
Phone(512) 323-9222
Fax(512) 323-9232
Organization SubpartNo
Authorized OfficialGregory Trent DavisCeo · (512) 323-9222
Enumeration DateNovember 18, 2008
Last NPPES UpdateApril 15, 2013
✔ NPI 1538314562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedChiropractor · InternistTaxonomy 111NI0900X · License DC30474 (TX)
4101 MARATHON BOULEVARD, Austin, TX 78756
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Other Names 1

Doing Business AsLongevity Wellness Center

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

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 Longevity Wellness Group's NPI number?

The NPI number for Longevity Wellness Group is 1538314562. It was assigned to this organization in the NPPES registry on November 18, 2008. The provider is doing business as Longevity Wellness Center.

Where is Longevity Wellness Group located?

Longevity Wellness Group is located at 4101 Marathon Boulevard, Austin, TX 78756. The listed phone number is (512) 323-9222.

What is Longevity Wellness Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Longevity Wellness Group was last updated on April 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.