Organization · Type 2 NPI

Life Span Medicine PA

General Practice Physician · Dallas, TX

NPI number 1679514632 Active

Practice location

2706 Fairmont Street
Dallas, TX 75201

Call (214) 303-1888 Map

Fax (214) 303-1550

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1679514632

Life Span Medicine PA's National Provider Identifier is 1679514632, issued on Jun 9, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Dallas, TX. The record was last updated on Apr 7, 2010.