Lifestream Health Center PA

NPI #1235363409 in Coppell, Texas

Provider Information

NPI Number: 1235363409
Entity Type: Organization
Organization Name: Lifestream Health Center PA
Subpart: Yes (part of a larger organization)
Parent Organization: LIFESREAM HEALTH CENTER PA
Primary Specialty: Specialist
Enumeration Date: May 4, 2009
Last Updated: Mar 29, 2016

Practice Location

Address: 705 MAIN ST
City: Coppell
State: Texas
ZIP Code: 75019-4742
Phone: (972) 304-6400

Authorized Official

Name: DR. BRANDON C CHARLES, M.D.
Title: PRESIDENT
Phone: (972) 304-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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