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LIFE RESTORE MD NPI 1538615695


NPI Information

NPI: 1538615695
Provider Name: LIFE RESTORE MD
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3012 E HEBRON PKWY
SUITE 116
CARROLLTON, TX
ZIP 75010
Phone: (214) 444-7567
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LIFE RESTORE MD is a general practice in Carrollton, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LIFE RESTORE MD NPI is 1538615695. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3012 E HEBRON PKWY
SUITE 116
CARROLLTON, TX
ZIP 75010-464
Phone: (214) 444-7567

The provider's authorized official is Jorge N Chavarria .
The authorized official title is Owner and has the following contact phone number (469) 583-5807.

The enumeration date for this NPI number is 8/29/2016 and was last updated on 8/29/2016.


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
1208D00000XGeneral PracticeYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.