LIFETIME MD HEALTH LLC NPI 1275367815

NPI Information

  • NPI: 1275367815
  • Provider Name: LIFETIME MD HEALTH LLC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • CLIA Number: 45D2307827
  • Address: 7790 W GRAND PKWY S STE 100
    RICHMOND, TX
    ZIP 77406
  • Phone: (281) 214-8473

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NPI Details

LIFETIME MD HEALTH LLC is an adult medicine family medicine in Richmond, TX. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. LIFETIME MD HEALTH LLC NPI is 1275367815. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7790 W GRAND PKWY S STE 100
RICHMOND, TX
ZIP 77406-830
Phone: (281) 214-8473
Fax: (281) 214-8476

The provider's authorized official is Bochen Tong .
The authorized official title is Physician Owner and has the following contact phone number (281) 214-8473.

The CLIA number assigned to this NPI record is 45D2307827 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2024 and was last updated on 8/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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