# LONGEVITY DYNAMICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285593400
- **Authorized official:** DR. LUIS GUEVARA D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (210) 995-5338

## Contact information

- **Practice address:** 4631 BOSQUE PASS, SAN ANTONIO, TX 78253-7244
- **Practice address phone:** (210) 995-5338
- **Mailing address:** 4631 BOSQUE PASS, SAN ANTONIO, TX 78253-7244
- **Mailing address phone:** (210) 605-4266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2026
- **Last updated:** 09/06/2026