Organization · Type 2 NPI

Lifevantage House Calls PLLC

General Practice Physician · Fort Worth, TX

NPI number 1679963771 Active

Practice location

9101 Nightingale Dr
Fort Worth, TX 76123-2713

Call (817) 739-4007 Map

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 1679963771

Lifevantage House Calls PLLC's National Provider Identifier is 1679963771, issued on Jan 27, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 27, 2015.