OrganizationActive
Life Span Medicine PA
NPI 1679514632 · General Practice Physician · Dallas, TX
Life Span Medicine PA is a General Practice Physician organization in Dallas, TX (NPI 1679514632).
Provider details
- NPI number
- 1679514632
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gina Renna, Ceo(214) 303-1888
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
2706 Fairmont Street
Dallas, TX 75201
Phone: (214) 303-1888
Fax: (214) 303-1550
Street-level locationGet directions
Mailing address
2706 Fairmont Street
Dallas, TX 75201
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2010-04-07
Frequently asked questions
- What is Life Span Medicine PA's NPI number?
- Life Span Medicine PA's National Provider Identifier (NPI) is 1679514632, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Span Medicine PA?
- Life Span Medicine PA is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Life Span Medicine PA located?
- Life Span Medicine PA's practice location on file with NPPES is 2706 Fairmont Street, Dallas, TX 75201.
- What is Life Span Medicine PA's phone number?
- The practice phone number listed in the NPPES registry for Life Span Medicine PA is (214) 303-1888.
- Who is the authorized official for Life Span Medicine PA?
- The authorized official listed on Life Span Medicine PA's NPPES record is Gina Renna, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Span Medicine PA's NPI active?
- Yes — Life Span Medicine PA's NPI (1679514632) is active in the NPPES registry as of the last update on 2010-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.