Organization · Type 2 NPI
Fountain Life Dallas, LLC
Clinic/Center · The Colony, TX
NPI number
1336829514
Active
Practice location
5762 Grandscape Blvd Ste 115
The Colony, TX 75056-6782
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
Other clinic/center providers in The Colony
About NPI 1336829514
Fountain Life Dallas, LLC's National Provider Identifier is 1336829514, issued on Jul 21, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in The Colony, TX. The record was last updated on Jul 21, 2023.