Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lifestream Health Center PA

Organization Specialist · NPI 1235363409

Lifestream Health Center PA provides Specialist services in Coppell, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

705 Main St
Coppell, TX 75019-4742 Not confirmed with CMS for 10 years — call before visiting
Phone: (972) 304-6400
Fax: (972) 304-6455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence H6110 (TX)

Record details

NPI number1235363409
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLifesream Health Center PA
Authorized official Brandon Charles — President · (972) 304-6400
NPI enumeratedMay 4, 2009
Last updated in NPPESMarch 29, 2016
Mailing address705 Main Street, Coppell, TX 75019

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