FOUNTAIN LIFE DALLAS, LLC

Clinic/Center

Active Organization
NPI: 1336829514

Practice Address

5762 GRANDSCAPE BLVD STE 115
The Colony, TX 75056

Phone: (469) 669-0336

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X Yes -

Frequently Asked Questions

NPI 1336829514 is the National Provider Identifier for FOUNTAIN LIFE DALLAS, LLC, a Clinic/Center provider located in The Colony, TX. This NPI was enumerated on July 21, 2023.

Quick Facts

NPI
1336829514
Type
Organization
Enumerated
Jul 21, 2023
Last Updated
Jul 21, 2023

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