Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fountain Life Dallas, LLC

Organization Clinic/Center · NPI 1336829514

Fountain Life Dallas, LLC is a Clinic/Center in The Colony, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5762 Grandscape Blvd Ste 115
The Colony, TX 75056-6782
Phone: (469) 669-0336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1336829514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Woo — Director Of Clinical Operations · (917) 810-8672
Other names Fountain Life Orlando, Lllc
NPI enumeratedJuly 21, 2023
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023
Mailing address5762 Grandscape Blvd Ste 115, The Colony, TX 75056-6782

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