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LIFESTYLE MEDICAL GROUP PLLC NPI 1215487459


NPI Information

NPI: 1215487459
Provider Name: LIFESTYLE MEDICAL GROUP PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 45D2124150

Address:
14885 SOUTHWEST FWY
SUGAR LAND, TX
ZIP 77478
Phone: (281) 450-9395
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LIFESTYLE MEDICAL GROUP PLLC is an obstetrics gynecology in Sugar Land, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LIFESTYLE MEDICAL GROUP PLLC NPI is 1215487459. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14885 SOUTHWEST FWY
SUGAR LAND, TX
ZIP 77478-016
Phone: (281) 450-9395

The provider's authorized official is Brandi Compton-joseph .
The authorized official title is Owner and has the following contact phone number (281) 450-9395.

The CLIA number assigned to this NPI record is 45D2124150 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 10/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyP3524TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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