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Lifelong Wellness Clinic Pllc

Lifelong Wellness Clinic Pllc is a health care provider in Eastland, TX. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 711 W Main St, Eastland, TX 76448-2534, US
Practice Location Phone254-629-1100
Practice Location Fax254-629-1104
NPI ?1114205812
Entity TypeOrganization
Enumeration Date ? Jul 28, 2011
Last Update Date ? Oct 23, 2013
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Lifelong Wellness Clinic Pllc

SpecialtySpecializationLicenseLicense State
Family Medicine N2319Texas
Pediatrics P0309Texas

official-icon Authorized Official of Lifelong Wellness Clinic Pllc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Lifelong Wellness Clinic Pllc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Christopher Tidroski (D.O.)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number254-629-1100