NPI age
17 years
Enumerated 2009-05-04
● Active Type 2 · Organization
Subpart
Lifestream Health Center PA
Lifestream Health Center PA is 1 of 4038 specialist organizations in Texas.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Charles
President
Last NPPES update
2016-03-29
Source: monthly bulk 2026-05
How this organization compares
Across 4038 active specialist providers in Texas.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-05Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
705 Main St
Coppell, TX 750194742
Mailing address
705 Main Street
Coppell, TX 75019
Authorized official
Brandon C Charles, M.D.
President
📞 9723046400
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Brandon Charles, MD Obstetrics & Gynecology NPI 1609833276
- Sharolyn Dihigo, DNP, RN, CPNP, FNP-C Nurse Practitioner NPI 1366447211
- Scharlene Gaudet, DC, DACNB Chiropractor NPI 1962879015
- Jana Rogers, FNP-C Nurse Practitioner NPI 1598341588
- Michael Sullivan, PA Physician Assistant NPI 1689707515
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | H6110 | TEXAS MEDICAL BOARD LICENSE |
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Subpart of Lifesream Health Center PA.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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