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Fountain Life Dallas, Llc
Clinic/Center in The Colony, Texas
NPI 1336829514

Fountain Life Dallas, Llc is a Clinic/Center based in The Colony, TX. Fountain Life Dallas, Llc practices in The Colony, TX. The NPI Number for Fountain Life Dallas, Llc is 1336829514 and holds a License No. (Texas).

The current practice location address for Fountain Life Dallas, Llc is 5762 Grandscape Blvd Ste 115, The Colony, TX and can be reached out via phone at 469-669-0336.

Location: 5762 Grandscape Blvd Ste 115, The Colony, TX, 75056-6782
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336829514
Provider Name
Fountain Life Dallas, Llc
Credential
Provider Entity Type
Organization
Address
5762 Grandscape Blvd Ste 115, The Colony, TX, 75056-6782
Phone Number
469-669-0336
Fax Number
Provider Enumeration Date
07/21/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5762 Grandscape Blvd Ste 115
City
The Colony
State
Texas
Zip
75056-6782
Phone Number
469-669-0336
Fax Number
person
Provider Business Mailing Address Details
Address
5762 Grandscape Blvd Ste 115
City
The Colony
State
Texas
Zip
75056-6782
Phone Number
469-669-0336
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
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).
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