| Southlake Group Health, Llc | |
|
1920 E State Highway 114 Southlake TX 76092-6510 | |
| (281) 429-8526 | |
| Not Available |
| Full Name | Southlake Group Health, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1920 E State Highway 114, Southlake, Texas |
| Authorized Official Name and Position | Felisha Walker (BILLING MANAGER) |
| Authorized Official Contact | 2814298526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southlake Group Health, Llc 16131 N Eldridge Pkwy Ste 100 Tomball TX 77377-9130 Ph: (832) 585-2747 | Southlake Group Health, Llc 1920 E State Highway 114 Southlake TX 76092-6510 Ph: (281) 429-8526 |
| NPI Number | 1124733407 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 01/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124733407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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