LIFESTREAM HEALTH CENTER PA – Specialist, NPI 1235363409

LIFESTREAM HEALTH CENTER PA is a healthcare provider. based in Coppell, Texas. specializing in Specialist. The organization holds a License No. H6110 (TX). The NPI Number for LIFESTREAM HEALTH CENTER PA is 1235363409

Main info

Organization
Name
LIFESTREAM HEALTH CENTER PA
NPI
1235363409
Phone
(972) 304-6400
Address
705 MAIN STREET
Authorized Official
DR. BRANDON C CHARLES PRESIDENT M.D.
Enumeration Date
4 May 2009
Last Update Date
29 March 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for LIFESTREAM HEALTH CENTER PA

  • 705, Main Street, Coppell, Dallas County, Texas, 75019, United States

    COPPELL, TX 75019

    Phone: (972) 304-6400

    Fax: (972) 304-6455

    Type: Mailing

  • Main Street, Coppell, Dallas County, Texas, 75019, United States

    COPPELL, TX 750194742

    Phone: (972) 304-6400

    Fax: (972) 304-6455

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75019)

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Reviews

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Frequently asked questions

Does LIFESTREAM HEALTH CENTER PA have a public NPI I can cite?
Public records show LIFESTREAM HEALTH CENTER PA under NPI 1235363409.
Should I treat LIFESTREAM HEALTH CENTER PA as an active provider?
Patients and plans typically see LIFESTREAM HEALTH CENTER PA as active in the national extract.
What type of care does LIFESTREAM HEALTH CENTER PA provide?
LIFESTREAM HEALTH CENTER PA's profile centers on Other Service Providers. Clinical services aligned with this taxonomy classification.
Which community is linked to LIFESTREAM HEALTH CENTER PA?
LIFESTREAM HEALTH CENTER PA shows a connection to Coppell, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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