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NPI · 1114205812 · NPPES-sourced

Lifelong Wellness Clinic PLLC

ActiveFamily Medicine
NPI Number
1114205812
Type 2 · Organisation
Taxonomy Code
207Q00000X
Contact
(254) 629-1100
License TX · N2319
Last Updated
Enumerated
Primary practice addressTX · 76448-2534
711 W Main StEastland, TX 76448-2534
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About this NPIWhat this record shows.

NPI 1114205812 is registered to Lifelong Wellness Clinic PLLC, a healthcare organisation classified as "Family Medicine" and located at 711 W Main St in Eastland, Texas. The organisation's authorised official is Christopher Tidroski. The organisation has been enumerated in the NPI registry since 2011.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lifelong Wellness Clinic PLLC accepts. To confirm in-network status with your specific health plan, contact Lifelong Wellness Clinic PLLC directly at (254) 629-1100.

Frequently asked

Yes. NPI 1114205812 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (254) 629-1100.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lifelong Wellness Clinic PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in Texas.

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