1. Home
  2. Directory
  3. Texas
  4. Tyler
  5. Physician Assistant
  6. NPI Profile

LIFETIME HEALTH CENTER
NPI 1629489042
Physician Assistant in Tyler, TX

Active since May 20, 2014
1420 WSW LOOP 323, SUITE 100, TYLER, TX 75701(903) 534-0773(903) 534-0880 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lifetime Health Center NPPES

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

LIFETIME HEALTH CENTER (NPI 1629489042) is a healthcare organization registered as a physician assistant in Tyler, Texas and active in the NPI registry since May 2014. The organization lists Rene Mccarty, Owner, as its authorized official.

NPPES Registry Identity

NPI1629489042
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameLIFETIME HEALTH CENTER
Location Address1420 WSW LOOP 323, SUITE 100Tyler, TX 75701-9347
Mailing Address1420 Wsw Loop 323, Suite 100Tyler, TX 75701-9347 · (903) 534-0773 · Fax (903) 534-0880
Phone(903) 534-0773
Fax(903) 534-0880
Organization SubpartYes
Authorized OfficialRene MccartyOwner · (903) 534-0773
Enumeration DateMay 20, 2014
✔ NPI 1629489042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA01101
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1420 WSW LOOP 323, Tyler, TX 75701
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Lifetime Health Center's NPI number?

The NPI number for Lifetime Health Center is 1629489042. It was assigned to this organization in the NPPES registry on May 20, 2014.

Where is Lifetime Health Center located?

Lifetime Health Center is located at 1420 Wsw Loop 323 Suite 100, Tyler, TX 75701. The listed phone number is (903) 534-0773.

What is Lifetime Health Center's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Lifetime Health Center was last updated on May 20, 2014. 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.