Organization · Type 2 NPI
Fountain of Life LLC
Primary Care Clinic/Center · Houston, TX
NPI number
1710223573
Active
Practice location
1820 W 43rd St
Houston, TX 77018-3006
Fax (713) 393-7466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1710223573
Fountain of Life LLC's National Provider Identifier is 1710223573, issued on Dec 26, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Houston, TX. The record was last updated on Jul 30, 2013.