OrganizationActive
Lifestream Health Center PA
NPI 1235363409 · Specialist · Coppell, TX
Lifestream Health Center PA is a Specialist organization in Coppell, TX (NPI 1235363409).
Provider details
- NPI number
- 1235363409
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Parent organization
- Lifesream Health Center PA
- Organization subpart
- Yes
- Authorized official
- Brandon Charles, President(972) 304-6400
- License
- H6110 (TX)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
705 Main St
Coppell, TX 75019-4742
Phone: (972) 304-6400
Fax: (972) 304-6455
Street-level locationGet directions
Mailing address
705 Main Street
Coppell, TX 75019
Registry dates
- Enumerated
- 2009-05-04
- Last updated
- 2016-03-29
Frequently asked questions
- What is Lifestream Health Center PA's NPI number?
- Lifestream Health Center PA's National Provider Identifier (NPI) is 1235363409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifestream Health Center PA?
- Lifestream Health Center PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Lifestream Health Center PA located?
- Lifestream Health Center PA's practice location on file with NPPES is 705 Main St, Coppell, TX 75019-4742.
- What is Lifestream Health Center PA's phone number?
- The practice phone number listed in the NPPES registry for Lifestream Health Center PA is (972) 304-6400.
- Who is the authorized official for Lifestream Health Center PA?
- The authorized official listed on Lifestream Health Center PA's NPPES record is Brandon Charles, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifestream Health Center PA's NPI active?
- Yes — Lifestream Health Center PA's NPI (1235363409) is active in the NPPES registry as of the last update on 2016-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.