Longevity Clinical Ltc Associates of Texas, PLLC
NPI 1720769698ActiveOrganization· Family Medicine, Geriatric Medicine· San Antonio, TX
Family Medicine, Geriatric Medicine in San Antonio, Texas, registered in NPPES in July 2023. The authorized official on file is Diane Vincur, Lwc Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720769698 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2023 |
| Last updated in NPPES | Jul 25, 2023 |
| Certified by provider | Jul 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Nurse Practitioner, Gerontology | 363LG0600X | — | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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