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

Lifevantage House Calls PLLC

Organization General Practice Physician · NPI 1679963771

Lifevantage House Calls PLLC provides General Practice Physician services in Fort Worth, Texas. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9101 Nightingale Dr
Fort Worth, TX 76123-2713 Not confirmed with CMS for 11 years — call before visiting
Phone: (817) 739-4007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1679963771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Andrada — Owner · (817) 739-4007
NPI enumeratedJanuary 27, 2015
Last updated in NPPESJanuary 27, 2015
Mailing address9101 Nightingale Dr, Fort Worth, TX 76123-2713

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