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

Longevity Clinical Ltc Associates of Texas, PLLC

Organization Family Medicine Physician · NPI 1720769698

Longevity Clinical Ltc Associates of Texas, PLLC is a Family Medicine Physician in San Antonio, Texas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
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

8000 W Ih 10 Ste 600
San Antonio, TX 78230-3887
Phone: (561) 815-2427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X
Family Medicine Physician Taxonomy 207Q00000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1720769698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Vincur — Lwc Practice Manager · (561) 815-2427
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023
Mailing address11780 Us Highway 1 Ste N107, North Palm Beach, FL 33408-3007

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