Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Life Span Medicine PA

General Practice Physician in Dallas, TX · enumerated 2006 · authorized official Gina Renna, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679514632

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Registry record

Entity type Organization (Type 2)

Legal business name Life Span Medicine PA

Practice address 2706 Fairmont Street, Dallas, TX, 75201

Phone (214) 303-1888

Fax (214) 303-1550

Enumeration date Jun 9, 2006

Last updated in NPPES Apr 7, 2010

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Gina Renna

Title Ceo

Phone (214) 303-1888

Other identifiers

Identifier	Type	State	Issuer
0036HZ	Other	-	BLUE CROSS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Life Span Medicine PA located?

The practice location on file with NPPES is in Dallas, TX.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-04-07. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-04-07.