# ADVANCED LIFESTYLE SOLUTIONS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043824543
- **Authorized official:** RITA PANNELL (OPERATIN MANAGER)
- **Authorized official phone:** (214) 310-6763

## Contact information

- **Practice address:** 9560 LEGACY DR STE 260, FRISCO, TX 75033-6753
- **Practice address phone:** (469) 486-3811
- **Mailing address:** 1162 HONEY CRK, NEW BRAUNFELS, TX 78132-3453
- **Mailing address phone:** (214) 310-6763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2020
- **Last updated:** 01/10/2022
