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Lifevantage House Calls Pllc

General Practice Physician in Fort Worth, TX · enumerated 2015 · authorized official Raymond Andrada, Owner.

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

National Provider Identifier

1679963771

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Registry record

Entity type Organization (Type 2)
Legal business name Lifevantage House Calls Pllc
Practice address 9101 Nightingale Dr, Fort Worth, TX, 76123
Phone (817) 739-4007
Enumeration date Jan 27, 2015
Last updated in NPPES Jan 27, 2015

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Raymond Andrada
Title Owner
Phone (817) 739-4007

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.

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Frequently asked questions

Who is the authorized official for Lifevantage House Calls Pllc?
NPPES lists Raymond Andrada (Owner) as the authorized official for this organization.
What is the NPI number for Lifevantage House Calls Pllc?
The NPI for Lifevantage House Calls Pllc is 1679963771, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-27.