Organization
LIFERESTORE MD USA LLC
Active
Other names
RestoreDOC MD
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID AKINA (OWNER)
(808) 489-8900
Entity
Organization
Contact information
Practice address
411 N WASHINGTON AVE # 2600, DALLAS, TX 75246-1713
(214) 699-4077
(469) 270-8239
Mailing address
411 N WASHINGTON AVE # 2600, DALLAS, TX 75246-1713
(214) 699-4077
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922542075
NPI
TX
Enumeration date
12/08/2016
Last updated
12/11/2025
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