Lifetime Health Center

NPI #1629489042 in Tyler, Texas

Provider Information

NPI Number: 1629489042
Entity Type: Organization
Organization Name: Lifetime Health Center
Subpart: Yes (part of a larger organization)
Parent Organization: LIFETIME HEALTH CENTER
Primary Specialty: Physician Assistant
Enumeration Date: May 20, 2014
Last Updated: May 20, 2014

Practice Location

Address: 1420 WSW LOOP 323
Address 2: SUITE 100
City: Tyler
State: Texas
ZIP Code: 75701-9347
Phone: (903) 534-0773

Authorized Official

Name: RENE MCCARTY, PA-C
Title: OWNER
Phone: (903) 534-0773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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