|
| |
|
470 East State Hwy 114 Southlake TX 76092-7625 | |
| (214) 645-0624 | |
| (214) 645-0624 |
| Full Name | |
|---|---|
| Speciality | Pediatrics |
| Location | 470 East State Hwy 114, Southlake, Texas |
| Authorized Official Name and Position | Bruce A. Meyer (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 2146450624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 845347 Dallas TX 75284-7208 Ph: (214) 645-0624 | 470 East State Hwy 114 Southlake TX 76092-7625 Ph: (214) 645-0624 |
| NPI Number | 1275838732 |
|---|---|
| Provider Enumeration Date | 01/14/2011 |
| Last Update Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275838732 | NPI | - | NPPES |
Mediclink Management Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-506-4132 | |
Health Matters Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 River Oaks Drive, #100, Southlake, TX 76092 Phone: 505-220-6814 | |
Southlake Hospitalists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1321 Bay Meadows Dr, Southlake, TX 76092 Phone: 817-521-4747 Fax: 214-279-9273 | |
Global Anesthesia Specialists, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 470 E State Highway 114, Southlake, TX 76092 Phone: 214-450-9926 | |
Modern Medical House Calls Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 855 Davis Blvd Ste 500, Southlake, TX 76092 Phone: 817-912-1771 Fax: 940-241-6156 | |