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Lifestream Health Center Pa
Specialist in Coppell, Texas
NPI 1235363409

Lifestream Health Center Pa is a Specialist based in Coppell, TX. Lifestream Health Center Pa practices in Coppell, TX. The NPI Number for Lifestream Health Center Pa is 1235363409 and holds a License No. H6110 (Texas).

The current practice location address for Lifestream Health Center Pa is 705 Main St, Coppell, TX and can be reached out via phone at 972-304-6400 and via fax at 972-304-6455.

Location: 705 Main St, Coppell, TX, 75019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235363409
Provider Name
Lifestream Health Center Pa
Credential
Provider Entity Type
Organization
Address
705 Main St, Coppell, TX, 75019
Phone Number
972-304-6400
Fax Number
972-304-6455
Provider Enumeration Date
05/04/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H6110 01 TX TEXAS MEDICAL BOARD LICENSE
institution
Provider Business Practice Location Address Details
Address
705 Main St
City
Coppell
State
Texas
Zip
75019-4742
Phone Number
972-304-6400
Fax Number
972-304-6455
person
Provider Business Mailing Address Details
Address
705 Main St
City
Coppell
State
Texas
Zip
75019-4742
Phone Number
972-304-6400
Fax Number
972-304-6455
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
H6110 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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