institution
Physician 360, Inc
Health Service Clinic/Center in Southlake, Texas
NPI 1194405373

Physician 360, Inc is a Health Service Clinic/Center based in Southlake, TX and is specialized in Health Service. Physician 360, Inc practices in Southlake, TX. The NPI Number for Physician 360, Inc is 1194405373 and holds a License No. (Texas).

The current practice location address for Physician 360, Inc is 1104 Lake Carillon Ln, Southlake, TX and can be reached out via phone at 847-971-8800.

Location: 1104 Lake Carillon Ln, Southlake, TX, 76092-1432
institution
Provider Profile Details
NPI Number
1194405373
Provider Name
Physician 360, Inc
Credential
Provider Entity Type
Organization
Address
1104 Lake Carillon Ln, Southlake, TX, 76092-1432
Phone Number
847-971-8800
Fax Number
Provider Enumeration Date
07/21/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1104 Lake Carillon Ln
City
State
Zip
76092-1432
Phone Number
847-971-8800
Fax Number
person
Provider Business Mailing Address Details
Address
1104 Lake Carillon Ln
City
State
Zip
76092-1432
Phone Number
847-971-8800
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
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