Organization
LONGEVITY CLINICAL LTC ASSOCIATES OF TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE VINCUR (LWC PRACTICE MANAGER)
(561) 815-2427
Entity
Organization
Contact information
Practice address
8000 W IH 10 STE 600, SAN ANTONIO, TX 78230-3887
(561) 815-2427
Mailing address
11780 US HIGHWAY 1 STE N107, NORTH PALM BEACH, FL 33408-3007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us