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LIFEVANTAGE HOUSE CALLS PLLC
NPI 1679963771
General Practice in Fort Worth, TX

Active since January 27, 2015
9101 NIGHTINGALE DR, FORT WORTH, TX 76123(817) 739-4007 Get Directions Write a Review

NPPES record last updated: January 27, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lifevantage House Calls Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFEVANTAGE HOUSE CALLS PLLC (NPI 1679963771) is a healthcare organization registered as a general practice in Fort Worth, Texas and active in the NPI registry since January 2015. The organization lists Raymond Andrada, Owner, as its authorized official.

NPPES Registry Identity

NPI1679963771
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLIFEVANTAGE HOUSE CALLS PLLC
Location Address9101 NIGHTINGALE DRFort Worth, TX 76123-2713
Mailing Address9101 Nightingale DrFort Worth, TX 76123-2713 · (817) 739-4007
Phone(817) 739-4007
Organization SubpartNo
Authorized OfficialRaymond AndradaOwner · (817) 739-4007
Enumeration DateJanuary 27, 2015
✔ NPI 1679963771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9101 NIGHTINGALE DR, Fort Worth, TX 76123
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AT HOME VISITING PHYSICIANS, INC.
Nurse Practitioner (Family)
9101 NIGHTINGALE DR
FORT WORTH, TX 76123
Tarrant County (817) 297-0447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifevantage House Calls PLLC's NPI number?

The NPI number for Lifevantage House Calls PLLC is 1679963771. It was assigned to this organization in the NPPES registry on January 27, 2015.

Where is Lifevantage House Calls PLLC located?

Lifevantage House Calls PLLC is located at 9101 Nightingale Dr, Fort Worth, TX 76123. The listed phone number is (817) 739-4007.

What is Lifevantage House Calls PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Lifevantage House Calls PLLC was last updated on January 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.