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Organization

BN LONGEVITY HORIZON PRIMARY CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHIRTOPHER BONNET FNP (CEO)
(726) 250-2970
Entity
Organization

Contact information

Practice address
12315 JUDSON RD STE 318, LIVE OAK, TX 78233-3265
(726) 250-2970
Mailing address
12315 JUDSON RD STE 318, LIVE OAK, TX 78233-3265
(726) 250-2970

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
04/01/2026
Last updated
04/01/2026
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