| Longevity Dynamics LLC | |
|
4631 Bosque Pass San Antonio TX 78253-7244 | |
| (210) 995-5338 | |
| Not Available |
| Full Name | Longevity Dynamics LLC |
|---|---|
| Speciality | Family Medicine - Sleep Medicine |
| Location | 4631 Bosque Pass, San Antonio, Texas |
| Authorized Official Name and Position | Luis Guevara (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2109955338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Dynamics LLC 4631 Bosque Pass San Antonio TX 78253-7244 Ph: (210) 605-4266 | Longevity Dynamics LLC 4631 Bosque Pass San Antonio TX 78253-7244 Ph: (210) 995-5338 |
| NPI Number | 1285593400 |
|---|---|
| Provider Enumeration Date | 01/22/2026 |
| Last Update Date | 09/06/2026 |
| Certification Date | 09/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285593400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207QS1201X | Family Medicine - Sleep Medicine | () | Primary |
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