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Southlake Group Health, Llc
Primary Care Clinic/Center in Southlake, Texas
NPI 1124733407

Southlake Group Health, Llc is a Primary Care Clinic/Center based in Tomball, TX and is specialized in Primary Care. Southlake Group Health, Llc practices in Southlake, TX. The NPI Number for Southlake Group Health, Llc is 1124733407 and holds a License No. (Texas).

The current practice location address for Southlake Group Health, Llc is 1920 E State Highway 114, Southlake, TX and can be reached out via phone at 281-429-8526.

Location: 1920 E State Highway 114, Southlake, TX, 77377-9130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124733407
Provider Name
Southlake Group Health, Llc
Credential
Provider Entity Type
Organization
Address
1920 E State Highway 114, Southlake, TX, 77377-9130
Phone Number
281-429-8526
Fax Number
Provider Enumeration Date
01/20/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1920 E State Highway 114
City
Southlake
State
Texas
Zip
76092-6510
Phone Number
281-429-8526
Fax Number
person
Provider Business Mailing Address Details
Address
1920 E State Highway 114
City
Southlake
State
Texas
Zip
76092-6510
Phone Number
281-429-8526
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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