Lifelong Wellness Clinic PLLC
NPI 1114205812 · Family Medicine Physician · Eastland, TX
Lifelong Wellness Clinic PLLC is a Family Medicine Physician organization in Eastland, TX (NPI 1114205812).
Provider details
- NPI number
- 1114205812
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Tidroski, Owner(254) 629-1100
- License
- P0309 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-28
- Last updated
- 2013-10-23
Frequently asked questions
- What is Lifelong Wellness Clinic PLLC's NPI number?
- Lifelong Wellness Clinic PLLC's National Provider Identifier (NPI) is 1114205812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifelong Wellness Clinic PLLC?
- Lifelong Wellness Clinic PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lifelong Wellness Clinic PLLC located?
- Lifelong Wellness Clinic PLLC's practice location on file with NPPES is 711 W Main St, Eastland, TX 76448-2534.
- What is Lifelong Wellness Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lifelong Wellness Clinic PLLC is (254) 629-1100.
- Who is the authorized official for Lifelong Wellness Clinic PLLC?
- The authorized official listed on Lifelong Wellness Clinic PLLC's NPPES record is Christopher Tidroski, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifelong Wellness Clinic PLLC's NPI active?
- Yes — Lifelong Wellness Clinic PLLC's NPI (1114205812) is active in the NPPES registry as of the last update on 2013-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.