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

Republic Longevity LLC

Organization Interventional Pain Medicine Physician · NPI 1831015577

Republic Longevity LLC is an Interventional Pain Medicine Physician in Bryan, Texas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3201 University Dr E Ste 370
Bryan, TX 77802-3485
Phone: (979) 703-1426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1831015577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dena Gaskin — Coo · (979) 229-9188
NPI enumeratedJune 26, 2026
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address10592 County Road 175, Iola, TX 77861-3617

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