P Praxis·MD
● Active Type 2 · Organization

Longevity Medicine, Pllc

General Practice·Boling, TX· NPI 1962672204 · Enumerated 2008 · 18 years on NPI
Longevity Medicine, Pllc is 1 of 2087 general practice organizations in Texas.
NPI age
18 years
Enumerated 2008-03-03
Primary specialty
General Practice
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Erickson
President/ceo
Last NPPES update
2008-03-03
Source: monthly bulk 2026-05

How this organization compares

Across 2087 active general practice providers in Texas.

NPI age
18 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-03Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
120 Railroad Street
Boling, TX 77420
📞 9796574000
Mailing address
Po Box 700
Boling, TX 774200700
📞 9796574400fax 9796573800

Authorized official

Peter Erickson, M.D.
President/ceo
📞 9796574400

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    TX license #E5746 taxonomy 208D00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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