| Fountain Life Dallas, Llc | |
|
5762 Grandscape Blvd Ste 115 The Colony TX 75056-6782 | |
| (469) 669-0336 | |
| Not Available |
| Full Name | Fountain Life Dallas, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 5762 Grandscape Blvd Ste 115, The Colony, Texas |
| Authorized Official Name and Position | Barbara Woo (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 9178108672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Life Dallas, Llc 5762 Grandscape Blvd Ste 115 The Colony TX 75056-6782 Ph: (469) 669-0336 | Fountain Life Dallas, Llc 5762 Grandscape Blvd Ste 115 The Colony TX 75056-6782 Ph: (469) 669-0336 |
| NPI Number | 1336829514 |
|---|---|
| Provider Enumeration Date | 07/21/2023 |
| Last Update Date | 07/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336829514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Stonebridge Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7204 Main St Ste 200, The Colony, TX 75056 Phone: 469-535-3800 Fax: 469-533-0399 | |
Housecall Express Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6600 Paige Rd Ste 209, The Colony, TX 75056 Phone: 888-330-6565 | |
Lakeside Medical Associates, P. A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6053 Main St, Suite 130, The Colony, TX 75056 Phone: 972-625-7000 Fax: 972-625-8787 | |
V.s.arjunraj Family Medicine P.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6053 Main St, Suite #230, The Colony, TX 75056 Phone: 214-619-1770 Fax: 214-619-1775 | |
Pickett Medical Center P.a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6600 Paige Rd, Sutie 105, The Colony, TX 75056 Phone: 972-625-5442 Fax: 972-370-2301 | |
Medicus Health Clinics Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5201 S Colony Blvd Ste 480, The Colony, TX 75056 Phone: 945-260-3205 Fax: 945-260-3210 |