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Destination Health
Adult Medicine Physician in Southlake, Texas
NPI 1346646528

Destination Health is an Adult Medicine Physician based in Southlake, TX and is specialized in Adult Medicine. Destination Health practices in Southlake, TX. The NPI Number for Destination Health is 1346646528 and holds a License No. H6268 (Texas).

The current practice location address for Destination Health is 900 E Southlake Blvd, Southlake, TX and can be reached out via phone at 817-310-6050 and via fax at 817-310-6051.

Location: 900 E Southlake Blvd, Southlake, TX, 76092-6375
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346646528
Provider Name
Destination Health
Credential
Provider Entity Type
Organization
Address
900 E Southlake Blvd, Southlake, TX, 76092-6375
Phone Number
817-310-6050
Fax Number
817-310-6051
Provider Enumeration Date
11/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 E Southlake Blvd
City
Southlake
State
Texas
Zip
76092-6375
Phone Number
817-310-6050
Fax Number
817-310-6051
person
Provider Business Mailing Address Details
Address
900 E Southlake Blvd
City
Southlake
State
Texas
Zip
76092-6375
Phone Number
817-310-6050
Fax Number
817-310-6051
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
H6268 (Texas)
Definition
Definition to come.
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