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Southlake Neurology And
Neurology Physician in Southlake, Texas
NPI 1437362480

Southlake Neurology And is a Neurology Physician based in Southlake, TX and is specialized in Neurology. Southlake Neurology And practices in Southlake, TX. The NPI Number for Southlake Neurology And is 1437362480 and holds a License No. (Texas).

The current practice location address for Southlake Neurology And is 175 Stonebridge Ln Ste 100, Southlake, TX and can be reached out via phone at 817-421-2905 and via fax at 817-431-6459.

Location: 175 Stonebridge Ln Ste 100, Southlake, TX, 76092-0307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437362480
Provider Name
Southlake Neurology And
Credential
Provider Entity Type
Organization
Address
175 Stonebridge Ln Ste 100, Southlake, TX, 76092-0307
Phone Number
817-421-2905
Fax Number
817-431-6459
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10582985 01 CAQH ID
K9573 01 TX TEXAS LICENSE
institution
Provider Business Practice Location Address Details
Address
175 Stonebridge Ln Ste 100
City
Southlake
State
Texas
Zip
76092-0307
Phone Number
817-421-2905
Fax Number
817-431-6459
person
Provider Business Mailing Address Details
Address
175 Stonebridge Ln Ste 100
City
Southlake
State
Texas
Zip
76092-0307
Phone Number
817-421-2905
Fax Number
817-431-6459
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
()
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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