LONGEVITY URGENT CARE PLLC NPI 1972889988

NPI Information

  • NPI: 1972889988
  • Provider Name: LONGEVITY URGENT CARE PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 128 WEST MCCART ST
    STE B
    KRUM, TX
    ZIP 76249
  • Phone: (940) 390-9709

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NPI Details

LONGEVITY URGENT CARE PLLC is a family medicine in Krum, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LONGEVITY URGENT CARE PLLC NPI is 1972889988. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

128 WEST MCCART ST
STE B
KRUM, TX
ZIP 76249
Phone: (940) 390-9709
Fax: (940) 482-1775

The provider's authorized official is Adrian C Jones .
The authorized official title is Nurse Practitioner and has the following contact phone number (940) 320-9709.

The enumeration date for this NPI number is 10/24/2011 and was last updated on 1/28/2016.

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
1363LF0000XNurse PractitionerFamily778411TEXASNo
2208D00000XGeneral PracticeF1170TEXASNo
3207Q00000XFamily MedicineK7643TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1778411OTHERTEXASTEXAS BOARD OF NURSING
2F1170OTHERTEXASTEXAS MEDICAL BOARD LIC. #
3K7643OTHERTEXASTEXAS MEDICAL BOARD LIC. #
47422820001MEDICARE NSCTEXAS

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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