Lifetime MD Health LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

LIFETIME MD HEALTH LLC

Doing business as

LIfetime Medical

Practice address

7790 W Grand Pkwy S Ste 100
Richmond, TX 77406-5830

Phone

(281) 214-8473

Fax

(281) 214-8476

NPI assigned

Aug 27, 2024

Last updated

Aug 27, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bochen Tong, MDNPI 1689092611

Title

Physician Owner

Phone

(281) 214-8473

Specialties & licenses 1

Addresses

Other names 1

• LIfetime Medical Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bochen Tong, M.D.

  • Family Medicine Physician
  • Richmond, TX
  • NPI 1689092611

  Adult Medicine

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1275367815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7790 W GRAND PKWY S STE 100",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065830",
            "telephone_number": "281-214-8473",
            "fax_number": "281-214-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7790 W GRAND PKWY S STE 100",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065830",
            "telephone_number": "281-214-8473",
            "fax_number": "281-214-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME MD HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "BOCHEN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "281-214-8473",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIfetime Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Medicine Physician in Richmond, TX
• Providers in Richmond, TX by specialty
• Adult Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.