LIFEGENIX MED PLLC NPI 1689473068

NPI Details

LIFEGENIX MED PLLC is a sports medicine orthopaedic surgery in Dallas, TX. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. LIFEGENIX MED PLLC NPI is 1689473068. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17230 DALLAS PKWY STE 110
DALLAS, TX
ZIP 75248-136
Phone: (972) 236-3333
Fax: (972) 920-3754

The provider's authorized official is Laurie Clemons .
The authorized official title is Vp Of Operations and has the following contact phone number (972) 236-3333.

The CLIA number assigned to this NPI record is 45D2314553 - health main. organization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2025 and was last updated on 3/10/2025.

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: