Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lifelong Wellness Clinic PLLC

Organization Family Medicine Physician · NPI 1114205812

Lifelong Wellness Clinic PLLC is a Family Medicine Physician in Eastland, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

711 W Main St
Eastland, TX 76448-2534
Phone: (254) 629-1100
Fax: (254) 629-1104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence N2319 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence P0309 (TX)

Record details

NPI number1114205812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Tidroski — Owner · (254) 629-1100
NPI enumeratedJuly 28, 2011
Last updated in NPPESOctober 23, 2013
Mailing address711 W Main St, Eastland, TX 76448-2534

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