Lifelong Wellness Clinic Pllc

NPI #1114205812 in Eastland, Texas

Provider Information

NPI Number: 1114205812
Entity Type: Organization
Organization Name: Lifelong Wellness Clinic Pllc
Primary Specialty: Family Medicine
Enumeration Date: Jul 28, 2011
Last Updated: Oct 23, 2013

Practice Location

Address: 711 W MAIN ST
City: Eastland
State: Texas
ZIP Code: 76448-2534
Phone: (254) 629-1100

Authorized Official

Name: CHRISTOPHER TIDROSKI, D.O.
Title: OWNER
Phone: (254) 629-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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Leonard A Saunders SR., M.D.	Family Medicine	Eastland	AI Deep Dive
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