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Organization
PHYSICIAN LONGEVITY INSTITUTE, INC
Active
Organization
PHYSICIAN LONGEVITY INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY R ALBERTSON M.D. (OWNER)
(512) 863-4500
Entity
Organization
Contact information
Practice address
1221 LEANDER RD, GEORGETOWN, TX 78628-8707
(512) 863-4500
Mailing address
15943 BOOTH CIR, VOLENTE, TX 78641-9679
(512) 250-9140
(512) 250-2207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/26/2008
Last updated
08/20/2008
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