Organization
LONGEVITY DYNAMICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS GUEVARA D.O. (MEDICAL DIRECTOR)
(210) 995-5338
Entity
Organization
Contact information
Practice address
4631 BOSQUE PASS, SAN ANTONIO, TX 78253-7244
(210) 995-5338
Mailing address
4631 BOSQUE PASS, SAN ANTONIO, TX 78253-7244
(210) 995-5338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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