Fountain Life Dallas, Llc

LBN: Fountain Life Dallas, Llc
Fountain Life Dallas, Llc is an health care organization with primary practice located at 5762 Grandscape Blvd Ste 115 , The Colony TX 75056-6782. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Fountain Life Dallas, Llc can be contacted via phone (469) 669-0336, or through Woo, Barbara via phone (917) 810-8672.

Contact Information

Primary practice address
5762 Grandscape Blvd Ste 115 The Colony TX 75056-6782
Phone: (469) 669-0336
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Woo, Barbara
Phone: (917) 810-8672

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1336829514
LBN Legal business name Fountain Life Dallas, Llc
DBA Doing business as
Authorized official Woo, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2023
Last updated Jul 21st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers