Lifelong Wellness Clinic PLLC
NPI 1114205812ActiveOrganization· Family Medicine· Eastland, TX
Family Medicine in Eastland, Texas, registered in NPPES in July 2011. The authorized official on file is Christopher Tidroski, D.O., Owner.
Overview
| NPI | 1114205812 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2011 |
| Last updated in NPPES | Oct 23, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | N2319 | TX |
| Pediatrics | 208000000X | P0309 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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