Longevity Medicine, PLLC
NPI 1962672204 · General Practice Physician · Boling, TX
Longevity Medicine, PLLC is a General Practice Physician organization in Boling, TX (NPI 1962672204).
Provider details
- NPI number
- 1962672204
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Erickson, President/Ceo(979) 657-4400
- License
- E5746 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2008-03-03
- Last updated
- 2008-03-03
Frequently asked questions
- What is Longevity Medicine, PLLC's NPI number?
- Longevity Medicine, PLLC's National Provider Identifier (NPI) is 1962672204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Longevity Medicine, PLLC?
- Longevity Medicine, PLLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Longevity Medicine, PLLC located?
- Longevity Medicine, PLLC's practice location on file with NPPES is 120 Railroad Street, Boling, TX 77420.
- What is Longevity Medicine, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Longevity Medicine, PLLC is (979) 657-4000.
- Who is the authorized official for Longevity Medicine, PLLC?
- The authorized official listed on Longevity Medicine, PLLC's NPPES record is Peter Erickson, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Longevity Medicine, PLLC's NPI active?
- Yes — Longevity Medicine, PLLC's NPI (1962672204) is active in the NPPES registry as of the last update on 2008-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.