| Destination Health | |
|
900 E Southlake Blvd Suite 200 Southlake TX 76092-6375 | |
| (817) 310-6050 | |
| (817) 310-6051 |
| Full Name | Destination Health |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 900 E Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Julie K Timmons (OPERATIONS MANAGER) |
| Authorized Official Contact | 8173106050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destination Health 900 E Southlake Blvd Suite 200 Southlake TX 76092-6375 Ph: (817) 310-6050 | Destination Health 900 E Southlake Blvd Suite 200 Southlake TX 76092-6375 Ph: (817) 310-6050 |
| NPI Number | 1346646528 |
|---|---|
| Provider Enumeration Date | 11/14/2014 |
| Last Update Date | 11/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346646528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | H6268 (Texas) | Primary |
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