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Southlake Foot & Wellness Center Llc
Specialist in Colleyville, Texas
NPI 1154824209

Southlake Foot & Wellness Center Llc is a Specialist based in Grapevine, TX. Southlake Foot & Wellness Center Llc practices in Colleyville, TX. The NPI Number for Southlake Foot & Wellness Center Llc is 1154824209 and holds a License No. AC00108 (Texas).

The current practice location address for Southlake Foot & Wellness Center Llc is 6407 Colleyville Blvd Ste B, Colleyville, TX and can be reached out via phone at 817-527-6077 and via fax at 817-796-1694.

Location: 6407 Colleyville Blvd Ste B, Colleyville, TX, 76051-7419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154824209
Provider Name
Southlake Foot & Wellness Center Llc
Credential
Provider Entity Type
Organization
Address
6407 Colleyville Blvd Ste B, Colleyville, TX, 76051-7419
Phone Number
817-527-6077
Fax Number
817-796-1694
Provider Enumeration Date
03/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6407 Colleyville Blvd Ste B
City
Colleyville
State
Texas
Zip
76034-6279
Phone Number
817-527-6077
Fax Number
817-796-1694
person
Provider Business Mailing Address Details
Address
6407 Colleyville Blvd Ste B
City
Colleyville
State
Texas
Zip
76034-6279
Phone Number
817-527-6077
Fax Number
817-796-1694
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AC00108 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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