LONGEVITY WELLNESS GROUP
Anesthesiologist Assistant at Marathon Blvd, Austin, TX

License number
Texas DC30474
Category
Chiropractic
Type
Internist
Owner
Name: DR. GREGORY TRENT DAVIS M.D.
Title: CEO
Phone: (512) 323-9222
Address
Address
4101 Marathon Blvd, Austin, TX 78756
National Provider ID: 1538314562
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LONGEVITY WELLNESS GROUP at bizstanding.com

LONGEVITY WELLNESS GROUP, INC

Austin, TX

Doing business as:
Longevity Wellness Group
Registration:
Nov 4, 2008
Site:
longevitywg.com, sp.bestflowers.com
Phone:
(512) 323-9222 (Phone)
Addresses:
PO Box 303460, Austin, TX 78703 (Mailing)
3810 Medical Pkwy, Austin, TX 78756
State ID:
0801047347
Business type:
Domestic For-Profit Corporation
Directors:
Kirsten Kristina Shepard (Director), 8601 Winding Walk, Austin, TX 78757,Janice Marie Lee Director, inactive
Agent:
Gregory T Davis,8601 Winding Walk, Austin, TX 78757 (Physical)
TIN:
32038269091
Categories:
Chiropractic Clinics, Clinics & Medical Centers

Longevity Wellness Group, Inc

4101 Marathon Blvd, Austin, TX 78756

Industry:
Chiropractor's Office, Nonclassifiable Establishments, Offices and Clinics of Chiropractors
President:
Cristin Sheard (President)

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