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Southlake Select, Pc
Point of Service in Renton, Washington
NPI 1548791924

Southlake Select, Pc is a Point of Service based in Renton, WA. Southlake Select, Pc practices in Renton, WA. The NPI Number for Southlake Select, Pc is 1548791924 and holds a License No. (Washington).

The current practice location address for Southlake Select, Pc is 4011 Talbot Rd S, Renton, WA and can be reached out via phone at 425-793-4702 and via fax at 425-271-5382.

Location: 4011 Talbot Rd S, Renton, WA, 98055-5773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548791924
Provider Name
Southlake Select, Pc
Credential
Provider Entity Type
Organization
Address
4011 Talbot Rd S, Renton, WA, 98055-5773
Phone Number
425-793-4702
Fax Number
425-271-5382
Provider Enumeration Date
03/27/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4011 Talbot Rd S
City
Renton
State
Washington
Zip
98055-5773
Phone Number
425-793-4702
Fax Number
425-271-5382
person
Provider Business Mailing Address Details
Address
4011 Talbot Rd S
City
Renton
State
Washington
Zip
98055-5773
Phone Number
425-793-4702
Fax Number
425-271-5382
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
0020685 (Washington)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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