Lifevantage House Calls PLLC
NPI 1679963771ActiveOrganization· General Practice· Fort Worth, TX
General Practice in Fort Worth, Texas, registered in NPPES in January 2015. The authorized official on file is Raymond Andrada, Owner.
Overview
| NPI | 1679963771 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2015 |
| Last updated in NPPES | Jan 27, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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