NPI age
13 years
Enumerated 2012-12-26
● Active Type 2 · Organization
Fountain Of Life Llc
Fountain Of Life Llc is 1 of 1466 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Goodman
Dr
Last NPPES update
2013-07-30
Source: monthly bulk 2026-05
How this organization compares
Across 1466 active clinic/center providers in Texas.
NPI age
13 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-12Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
1820 W 43rd St
Houston, TX 770183006
Mailing address
1820 W 43rd St
Houston, TX 770183006
Authorized official
Cynthia Diane Goodman
Dr
📞 8325481701
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Nichole Thomas, CHC, CNC, CCHW Nutritionist NPI 1134810542
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Medcuba clinic
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.