OrganizationActive
Fountain Life Dallas, LLC
NPI 1336829514 · Clinic/Center · The Colony, TX
Provider details
- NPI number
- 1336829514
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Barbara Woo, Director of Clinical Operations(917) 810-8672
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
5762 Grandscape Blvd Ste 115
The Colony, TX 75056-6782
Phone: (469) 669-0336
Street-level locationGet directions
Mailing address
5762 Grandscape Blvd Ste 115
The Colony, TX 75056-6782
Other names (DBA / former)
- Doing business as
- Fountain Life Orlando, Lllc
Registry dates
- Enumerated
- 2023-07-21
- Last updated
- 2023-07-21
- Certified
- 2023-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.