NPI age
19 years
Enumerated 2006-06-09
● Active Type 2 · Organization
Life Span Medicine PA
Life Span Medicine PA is 1 of 2087 general practice organizations in Texas.
Primary specialty
General Practice
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Renna
Ceo
Last NPPES update
2010-04-07
Source: monthly bulk 2026-05
How this organization compares
Across 2087 active general practice providers in Texas.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2706 Fairmont Street
Dallas, TX 75201
Mailing address
2706 Fairmont Street
Dallas, TX 75201
Authorized official
Gina Renna
Ceo
📞 2143031888
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 0036HZ | BLUE CROSS |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.