NPI age
17 years
Enumerated 2008-11-18
● Active Type 2 · Organization
Longevity Wellness Group
Longevity Wellness Group is 1 of 12343 internal medicine organizations in Texas.
Primary specialty
Internal Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davis
Ceo
Last NPPES update
2013-04-15
Source: monthly bulk 2026-05
How this organization compares
Across 12343 active internal medicine providers in Texas.
NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-11Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
4101 Marathon Boulevard
Austin, TX 787564026
Mailing address
Po Box 303460
Austin, TX 787030058
Authorized official
Gregory Trent Davis, M.D.
Ceo
📞 5123239222
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
-
ChiropractorThe chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Longevity Wellness Center
Practice context
Single-site organization. Only one practice location on file.
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