LIFEVANTAGE HOUSE CALLS PLLC NPI 1679963771

NPI Information

NPI: 1679963771
Provider Name: LIFEVANTAGE HOUSE CALLS PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
9101 NIGHTINGALE DR
FORT WORTH, TX
ZIP 76123
Phone: (817) 739-4007
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LIFEVANTAGE HOUSE CALLS PLLC is a general practice in Fort Worth, TX. LIFEVANTAGE HOUSE CALLS PLLC NPI is 1679963771. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9101 NIGHTINGALE DR
FORT WORTH, TX
ZIP 76123-713
Phone: (817) 739-4007

The provider's authorized official is Raymond Andrada .
The authorized official title is Owner and has the following contact phone number (817) 739-4007.

The enumeration date for this NPI number is 1/27/2015 and was last updated on 1/27/2015.

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
1	208D00000X	General Practice				Yes

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: 11/14/2023

NPI Synchronization or Removal

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